28D0456402 CLIA NUMBER - PERKINS COUNTY FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 28D0456402
  • Facility Name: PERKINS COUNTY FAMILY CLINIC
  • Facility Address: 221 EAST 10TH
    OGALLALA, NE
    ZIP 69153
  • Facility Phone: 308 284-8421
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHASITY J. KNOLES
  • NPI Number: 1033767967
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0456402
LAB Type Physician Office
Facility Name PERKINS COUNTY FAMILY CLINIC
Street 221 EAST 10TH
City OGALLALA
State NE
ZIP 69153
Phone 308 284-8421
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 CHASITY J. KNOLES

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