28D0680883 CLIA NUMBER - REGIONAL WEST MEDICAL CENTER

Laboratory Demographics

CLIA Number: 28D0680883

Facility Name: REGIONAL WEST MEDICAL CENTER

Facility Address:
4021 AVENUE B
SCOTTSBLUFF, NE
ZIP 69361
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Facility Phone Number: 308 632-7411

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1396047148

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 28D0680883
LAB Type Mobile Laboratory
Facility Name REGIONAL WEST MEDICAL CENTER
Street 4021 AVENUE B
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 308 632-7411
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024