28D0455470 CLIA NUMBER - ST EDWARD MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 28D0455470
  • Facility Name: ST EDWARD MEDICAL CLINIC
  • Facility Address: 1102 WATER STREET
    SAINT EDWARD, NE
    ZIP 68660
  • Facility Phone: 402 678-2232
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: NIKKI R. HEIDEMANN
  • NPI Number: 1225063266
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0455470
LAB Type Rural Health Clinic
Facility Name ST EDWARD MEDICAL CLINIC
Street 1102 WATER STREET
City SAINT EDWARD
State NE
ZIP 68660
Phone 402 678-2232
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Rural Health Clinic
Lab Director NIKKI R. HEIDEMANN

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