28D0994375 CLIA NUMBER - CHASE COUNTY CLINIC IMPERIAL

Laboratory Demographics

  • CLIA Code: 28D0994375
  • Facility Name: CHASE COUNTY CLINIC IMPERIAL
  • Facility Address: 600 WEST 12TH STREET, P O BOX 819
    IMPERIAL, NE
    ZIP 69033
  • Facility Phone: 308 882-7111
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. DAVID YOUNGER
  • NPI Number: 1881752509
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 28D0994375
LAB Type Community Clinic
Facility Name CHASE COUNTY CLINIC IMPERIAL
Street 600 WEST 12TH STREET, P O BOX 819
City IMPERIAL
State NE
ZIP 69033
Phone 308 882-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Community Clinic
Lab Director DR. DAVID YOUNGER

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