28D0455425 CLIA NUMBER - BUTLER COUNTY CLINIC PC

Laboratory Demographics

  • CLIA Code: 28D0455425
  • Facility Name: BUTLER COUNTY CLINIC PC
  • Facility Address: 336 SOUTH 9TH STREET
    DAVID CITY, NE
    ZIP 68632
  • Facility Phone: 402 367-3193
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARK V. CARLSON
  • NPI Number: 1457311482
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D0455425
LAB Type Physician Office
Facility Name BUTLER COUNTY CLINIC PC
Street 336 SOUTH 9TH STREET
City DAVID CITY
State NE
ZIP 68632
Phone 402 367-3193
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director DR. MARK V. CARLSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025