28D0857446 CLIA NUMBER - UTICA FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 28D0857446
  • Facility Name: UTICA FAMILY MEDICAL CENTER
  • Facility Address: 100 4TH STREET
    UTICA, NE
    ZIP 68456
  • Facility Phone: (402) 534-2081
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. TRISHA M. SAMS
  • NPI Number: 1154400844
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0857446
LAB Type Rural Health Clinic
Facility Name UTICA FAMILY MEDICAL CENTER
Street 100 4TH STREET
City UTICA
State NE
ZIP 68456
Phone 4025342081
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Rural Health Clinic
Lab Director DR. TRISHA M. SAMS

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This page was last updated on: 5/18/2026