28D0913222 CLIA NUMBER - PLATTE VALLEY SKIN CLINIC

Laboratory Demographics

  • CLIA Code: 28D0913222
  • Facility Name: PLATTE VALLEY SKIN CLINIC
  • Facility Address: 825 S WILLOW STREET
    NORTH PLATTE, NE
    ZIP 69101
  • Facility Phone: 308 534-1700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JAMES D. BUNKER
  • NPI Number: 1396878245
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 28D0913222
LAB Type Physician Office
Facility Name PLATTE VALLEY SKIN CLINIC
Street 825 S WILLOW STREET
City NORTH PLATTE
State NE
ZIP 69101
Phone 308 534-1700
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 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director DR. JAMES D. BUNKER

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