28D2007933 CLIA NUMBER - THREE RIVERS DISTRICT HEALTH DEPARTMENT

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Laboratory Demographics

CLIA Number: 28D2007933

Facility Name: THREE RIVERS DISTRICT HEALTH DEPARTMENT

Facility Address:
2400 NORTH LINCOLN AVENUE
FREMONT, NE
ZIP 68025
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Facility Phone Number: 402 727-5396

Facility Type: Other - TITLE X FAMILY PLANNING

Certificate Type: Microscopy

NPI Number: 1710041124

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	28D2007933
LAB Type	Other - TITLE X FAMILY PLANNING
Facility Name	THREE RIVERS DISTRICT HEALTH DEPARTMENT
Street	2400 NORTH LINCOLN AVENUE
City	FREMONT
State	NE
ZIP	68025
Phone	402 727-5396
CertificateType	3
CertificateEffectiveDate	8/30/2022
CertificateExpirationDate	8/29/2024
FacilityType	PPMP

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