28D0455699 CLIA NUMBER - WAUSA MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 28D0455699
  • Facility Name: WAUSA MEDICAL CLINIC
  • Facility Address: 100 N LINCOLN STREET
    WAUSA, NE
    ZIP 68786
  • Facility Phone: (402) 586-2244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY L. BULLOCK

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CLIA Record

Field Name Field Value
CLIA Number 28D0455699
LAB Type Physician Office
Facility Name WAUSA MEDICAL CLINIC
Street 100 N LINCOLN STREET
City WAUSA
State NE
ZIP 68786
Phone 4025862244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director KELLY L. BULLOCK

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This page was last updated on: 6/29/2026