28D0456009 CLIA NUMBER - VCHS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 28D0456009
  • Facility Name: VCHS MEDICAL CLINIC
  • Facility Address: 2707 L STREET, SUITE 1
    ORD, NE
    ZIP 68862
  • Facility Phone: 308 728-4202
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: JENNIFER L. BENGSTON MD
  • NPI Number: 1528018561
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0456009
LAB Type Rural Health Clinic
Facility Name VCHS MEDICAL CLINIC
Street 2707 L STREET, SUITE 1
City ORD
State NE
ZIP 68862
Phone 308 728-4202
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 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Rural Health Clinic
Lab Director JENNIFER L. BENGSTON MD

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