28D0456447 CLIA NUMBER - CHERRY COUNTY HOSPITAL D/B/A CHERRY COUNTY CLINIC

Laboratory Demographics

  • CLIA Code: 28D0456447
  • Facility Name: CHERRY COUNTY HOSPITAL D/B/A CHERRY COUNTY CLINIC
  • Facility Address: 512 NORTH GREEN STREET
    VALENTINE, NE
    ZIP 69201
  • Facility Phone: 402 376-3770
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MADELEINE WILSON
  • NPI Number: 1477094373
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 28D0456447
LAB Type Rural Health Clinic
Facility Name CHERRY COUNTY HOSPITAL D/B/A CHERRY COUNTY CLINIC
Street 512 NORTH GREEN STREET
City VALENTINE
State NE
ZIP 69201
Phone 402 376-3770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Rural Health Clinic
Lab Director MADELEINE WILSON

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