28D0948021 CLIA NUMBER - BRODSTONE FAMILY MEDICAL CENTER - EDGAR

Laboratory Demographics

  • CLIA Code: 28D0948021
  • Facility Name: BRODSTONE FAMILY MEDICAL CENTER - EDGAR
  • Facility Address: 315 NORTH C STREET
    EDGAR, NE
    ZIP 68935
  • Facility Phone: 402 224-3344
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY D. BLECHA
  • NPI Number: 1699746248
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0948021
LAB Type Community Clinic
Facility Name BRODSTONE FAMILY MEDICAL CENTER - EDGAR
Street 315 NORTH C STREET
City EDGAR
State NE
ZIP 68935
Phone 402 224-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Community Clinic
Lab Director DR. TIMOTHY D. BLECHA

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