28D1020255 CLIA NUMBER - OREGON TRAIL EYE SURGERY CENTER, INC

Laboratory Demographics

  • CLIA Code: 28D1020255
  • Facility Name: OREGON TRAIL EYE SURGERY CENTER, INC
  • Facility Address: 329 WEST 40TH STREET
    SCOTTSBLUFF, NE
    ZIP 69361
  • Facility Phone: 308 635-3911
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SHAWNA R. COLLIER
  • NPI Number: 1659464337
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 28D1020255
LAB Type Ambulatory Surgery Center
Facility Name OREGON TRAIL EYE SURGERY CENTER, INC
Street 329 WEST 40TH STREET
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 308 635-3911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. SHAWNA R. COLLIER

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