28D0941855 CLIA NUMBER - DESHLER MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 28D0941855
  • Facility Name: DESHLER MEDICAL CLINIC
  • Facility Address: 615 4TH STREET
    DESHLER, NE
    ZIP 68340
  • Facility Phone: 402 768-7203
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. BRYAN HUBL
  • NPI Number: 1659357507
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0941855
LAB Type Rural Health Clinic
Facility Name DESHLER MEDICAL CLINIC
Street 615 4TH STREET
City DESHLER
State NE
ZIP 68340
Phone 402 768-7203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Rural Health Clinic
Lab Director DR. BRYAN HUBL

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