28D0664918 CLIA NUMBER - CALLAWAY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 28D0664918
  • Facility Name: CALLAWAY MEDICAL CLINIC
  • Facility Address: 213 EAST KIMBALL STREET
    CALLAWAY, NE
    ZIP 68825
  • Facility Phone: 308 836-2294
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: STEPHANIE PAULSEN
  • NPI Number: 1962519074
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0664918
LAB Type Rural Health Clinic
Facility Name CALLAWAY MEDICAL CLINIC
Street 213 EAST KIMBALL STREET
City CALLAWAY
State NE
ZIP 68825
Phone 308 836-2294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Rural Health Clinic
Lab Director STEPHANIE PAULSEN

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