28D1016662 CLIA NUMBER - NORTH PLATTE OB CLINIC LAB

Laboratory Demographics

  • CLIA Code: 28D1016662
  • Facility Name: NORTH PLATTE OB CLINIC LAB
  • Facility Address: 1115 SOUTH WILLOW STREET
    NORTH PLATTE, NE
    ZIP 69101
  • Facility Phone: 308 534-4804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BYRON L. BARKSDALE
  • NPI Number: 1215942677
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 28D1016662
LAB Type Physician Office
Facility Name NORTH PLATTE OB CLINIC LAB
Street 1115 SOUTH WILLOW STREET
City NORTH PLATTE
State NE
ZIP 69101
Phone 308 534-4804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director BYRON L. BARKSDALE

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