28D0456613 CLIA NUMBER - SCOTTSBLUFF UROLOGY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 28D0456613
  • Facility Name: SCOTTSBLUFF UROLOGY ASSOCIATES PC
  • Facility Address: 313 W 38TH STREET, SUITE B
    SCOTTSBLUFF, NE
    ZIP 69361
  • Facility Phone: 308 632-5315
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN N. KABALIN
  • NPI Number: 1780615401
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 28D0456613
LAB Type Physician Office
Facility Name SCOTTSBLUFF UROLOGY ASSOCIATES PC
Street 313 W 38TH STREET, SUITE B
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 308 632-5315
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director DR. JOHN N. KABALIN

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