28D0712824 CLIA NUMBER - NORTHEAST NEBRASKA COMMUNITY ACTION PARTNERSHIP INC

Laboratory Demographics

  • CLIA Code: 28D0712824
  • Facility Name: NORTHEAST NEBRASKA COMMUNITY ACTION PARTNERSHIP INC
  • Facility Address: 603 EARL STREET
    PENDER, NE
    ZIP 68047
  • Facility Phone: 402 385-6300
  • Facility Type: Other - COMMUNITY ACTION AGENCY
  • Facility Type: Waiver
  • Lab Director: DUSTI M. STORM
  • NPI Number: 1932576857
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 28D0712824
LAB Type Other - COMMUNITY ACTION AGENCY
Facility Name NORTHEAST NEBRASKA COMMUNITY ACTION PARTNERSHIP INC
Street 603 EARL STREET
City PENDER
State NE
ZIP 68047
Phone 402 385-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - COMMUNITY ACTION AGENCY
Lab Director DUSTI M. STORM

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