28D2007933 CLIA NUMBER - THREE RIVERS PUBLIC HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 28D2007933
  • Facility Name: THREE RIVERS PUBLIC HEALTH DEPARTMENT
  • Facility Address: 2400 NORTH LINCOLN AVENUE
    FREMONT, NE
    ZIP 68025
  • Facility Phone: 402 727-5396
  • Facility Type: Other - PUBLIC HEALTH DEPARTMENT
  • Facility Type: Microscopy
  • Lab Director: MARY N. RICHARDSON
  • NPI Number: 1710041124
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 28D2007933
LAB Type Other - PUBLIC HEALTH DEPARTMENT
Facility Name THREE RIVERS PUBLIC HEALTH DEPARTMENT
Street 2400 NORTH LINCOLN AVENUE
City FREMONT
State NE
ZIP 68025
Phone 402 727-5396
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Other - PUBLIC HEALTH DEPARTMENT
Lab Director MARY N. RICHARDSON

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This page was last updated on: 6/4/2025