28D1068227 CLIA NUMBER - SCOTTSBLUFF SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 28D1068227
  • Facility Name: SCOTTSBLUFF SURGERY CENTER
  • Facility Address: 4023 AVENUE B
    SCOTTSBLUFF, NE
    ZIP 69361
  • Facility Phone: (308) 633-6000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: H W. HAMNER
  • NPI Number: 1528197191
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1068227
LAB Type Ambulatory Surgery Center
Facility Name SCOTTSBLUFF SURGERY CENTER
Street 4023 AVENUE B
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 3086336000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Ambulatory Surgery Center
Lab Director H W. HAMNER

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This page was last updated on: 6/29/2026