28D0456540 CLIA NUMBER - GORDON CLINIC PC

Laboratory Demographics

  • CLIA Code: 28D0456540
  • Facility Name: GORDON CLINIC PC
  • Facility Address: 807 N ASH STREET
    GORDON, NE
    ZIP 69343
  • Facility Phone: 308 282-1442
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANPO W. CHARGING THUNDER
  • NPI Number: 1326182494
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 28D0456540
LAB Type Physician Office
Facility Name GORDON CLINIC PC
Street 807 N ASH STREET
City GORDON
State NE
ZIP 69343
Phone 308 282-1442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director DR. ANPO W. CHARGING THUNDER

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