28D0976261 CLIA NUMBER - AMH - TILDEN CLINIC

Laboratory Demographics

  • CLIA Code: 28D0976261
  • Facility Name: AMH - TILDEN CLINIC
  • Facility Address: 200 S ANTELOPE ST
    TILDEN, NE
    ZIP 68781
  • Facility Phone: 402 368-5520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TROY O. DAWSON
  • NPI Number: 1386732709
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0976261
LAB Type Physician Office
Facility Name AMH - TILDEN CLINIC
Street 200 S ANTELOPE ST
City TILDEN
State NE
ZIP 68781
Phone 402 368-5520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director DR. TROY O. DAWSON

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