28D0455921 CLIA NUMBER - KEARNEY UROLOGY CENTER

Laboratory Demographics

  • CLIA Code: 28D0455921
  • Facility Name: KEARNEY UROLOGY CENTER
  • Facility Address: 123 WEST 31ST STREET
    KEARNEY, NE
    ZIP 68847
  • Facility Phone: 308 237-7719
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GARRETT D. POHLMAN
  • NPI Number: 1710087036
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 28D0455921
LAB Type Physician Office
Facility Name KEARNEY UROLOGY CENTER
Street 123 WEST 31ST STREET
City KEARNEY
State NE
ZIP 68847
Phone 308 237-7719
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. GARRETT D. POHLMAN

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