28D1046786 CLIA NUMBER - ROCK COUNTY CLINIC

Laboratory Demographics

CLIA Number: 28D1046786

Facility Name: ROCK COUNTY CLINIC

Facility Address:
801 SOUTH STATE STREET
BASSETT, NE
ZIP 68714
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Facility Phone Number: 402 684-2906

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1720084668

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	28D1046786
LAB Type	Rural Health Clinic
Facility Name	ROCK COUNTY CLINIC
Street	801 SOUTH STATE STREET
City	BASSETT
State	NE
ZIP	68714
Phone	402 684-2906
CertificateType	4
CertificateEffectiveDate	10/18/2023
CertificateExpirationDate	10/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024