28D0674914 CLIA NUMBER - HOWARD COUNTY MEDICAL CENTER RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 28D0674914
  • Facility Name: HOWARD COUNTY MEDICAL CENTER RURAL HEALTH CLINIC
  • Facility Address: 1113 SHERMAN STREET
    SAINT PAUL, NE
    ZIP 68873
  • Facility Phone: 308 754-4421
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. BRENT KEENPORTZ
  • NPI Number: 1306944558
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D0674914
LAB Type Rural Health Clinic
Facility Name HOWARD COUNTY MEDICAL CENTER RURAL HEALTH CLINIC
Street 1113 SHERMAN STREET
City SAINT PAUL
State NE
ZIP 68873
Phone 308 754-4421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Rural Health Clinic
Lab Director DR. BRENT KEENPORTZ

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