28D0455641 CLIA NUMBER - ORCHARD MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 28D0455641
  • Facility Name: ORCHARD MEDICAL CLINIC
  • Facility Address: 103 WASHINGTON STREET
    ORCHARD, NE
    ZIP 68764
  • Facility Phone: 402 893-5155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TROY O. DAWSON MD
  • NPI Number: 1427146869
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0455641
LAB Type Physician Office
Facility Name ORCHARD MEDICAL CLINIC
Street 103 WASHINGTON STREET
City ORCHARD
State NE
ZIP 68764
Phone 402 893-5155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director TROY O. DAWSON MD

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