28D0976261 CLIA NUMBER - AMH - TILDEN CLINIC

Laboratory Demographics

CLIA Number: 28D0976261

Facility Name: AMH - TILDEN CLINIC

Facility Address:
200 S ANTELOPE ST
TILDEN, NE
ZIP 68781
Get Directions

Facility Phone Number: 402 368-5520

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386732709

Taxonomy: 261QR1300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	3/20/2024
CertificateExpirationDate	3/19/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024