28D1027384 CLIA NUMBER - BRODSTONE FAMILY MEDICAL CENTER - SUPERIOR

Laboratory Demographics

  • CLIA Code: 28D1027384
  • Facility Name: BRODSTONE FAMILY MEDICAL CENTER - SUPERIOR
  • Facility Address: 525 EAST 11TH STREET
    SUPERIOR, NE
    ZIP 68978
  • Facility Phone: 402 879-4781
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY D. BLECHA
  • NPI Number: 1073590626
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1027384
LAB Type Rural Health Clinic
Facility Name BRODSTONE FAMILY MEDICAL CENTER - SUPERIOR
Street 525 EAST 11TH STREET
City SUPERIOR
State NE
ZIP 68978
Phone 402 879-4781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Rural Health Clinic
Lab Director DR. TIMOTHY D. BLECHA

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