28D0995342 CLIA NUMBER - STEVENS MEDICAL CLINIC PC

Laboratory Demographics

  • CLIA Code: 28D0995342
  • Facility Name: STEVENS MEDICAL CLINIC PC
  • Facility Address: 1820 N STREET, SUITE 2
    ORD, NE
    ZIP 68862
  • Facility Phone: 308 728-9916
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL M. STEVENS MD
  • NPI Number: 1285829929
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0995342
LAB Type Physician Office
Facility Name STEVENS MEDICAL CLINIC PC
Street 1820 N STREET, SUITE 2
City ORD
State NE
ZIP 68862
Phone 308 728-9916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director DANIEL M. STEVENS MD

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