28D1072956 CLIA NUMBER - REGIONAL WEST MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 28D1072956
  • Facility Name: REGIONAL WEST MEDICAL CENTER
  • Facility Address: 101 EAST 40TH
    SCOTTSBLUFF, NE
    ZIP 69361
  • Facility Phone: 308 630-2515
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. WILLIAM P. LATTIN
  • NPI Number: 1659528412
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1072956
LAB Type Ambulance
Facility Name REGIONAL WEST MEDICAL CENTER
Street 101 EAST 40TH
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 308 630-2515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Ambulance
Lab Director MR. WILLIAM P. LATTIN

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