28D0455884 CLIA NUMBER - CENTRAL CITY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 28D0455884
  • Facility Name: CENTRAL CITY MEDICAL CLINIC
  • Facility Address: 2805 28TH ST
    CENTRAL CITY, NE
    ZIP 68826
  • Facility Phone: 308 624-6822
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. BLAKE A. COVER
  • NPI Number: 1942732227
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0455884
LAB Type Rural Health Clinic
Facility Name CENTRAL CITY MEDICAL CLINIC
Street 2805 28TH ST
City CENTRAL CITY
State NE
ZIP 68826
Phone 308 624-6822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Rural Health Clinic
Lab Director DR. BLAKE A. COVER

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