28D2040588 CLIA NUMBER - AVERA MEDICAL GROUP EWING

Laboratory Demographics

  • CLIA Code: 28D2040588
  • Facility Name: AVERA MEDICAL GROUP EWING
  • Facility Address: 202 NEBRASKA STREET
    EWING, NE
    ZIP 68735
  • Facility Phone: 402 626-7546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. KRISTIN K. KLEIN
  • NPI Number: 1003182072
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2040588
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP EWING
Street 202 NEBRASKA STREET
City EWING
State NE
ZIP 68735
Phone 402 626-7546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director MS. KRISTIN K. KLEIN

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