28D0697020 CLIA NUMBER - GORDON MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 28D0697020
  • Facility Name: GORDON MEMORIAL HOSPITAL
  • Facility Address: 300 EAST 8TH STREET
    GORDON, NE
    ZIP 69343
  • Facility Phone: 308 282-6187
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RICHARD J. SIMMONS
  • NPI Number: 1710102645
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0697020
LAB Type Hospital
Facility Name GORDON MEMORIAL HOSPITAL
Street 300 EAST 8TH STREET
City GORDON
State NE
ZIP 69343
Phone 308 282-6187
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 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Hospital
Lab Director DR. RICHARD J. SIMMONS

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