28D1095677 CLIA NUMBER - BELLEVUE URGENT CARE

Laboratory Demographics

  • CLIA Code: 28D1095677
  • Facility Name: BELLEVUE URGENT CARE
  • Facility Address: 1307 HARLAN DRIVE
    BELLEVUE, NE
    ZIP 68005
  • Facility Phone: 402 291-8701
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. BRUCE G. COOK
  • NPI Number: 1861632127
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1095677
LAB Type Physician Office
Facility Name BELLEVUE URGENT CARE
Street 1307 HARLAN DRIVE
City BELLEVUE
State NE
ZIP 68005
Phone 402 291-8701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director MR. BRUCE G. COOK

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