28D2040589 CLIA NUMBER - AVERA MEDICAL GROUP PAGE

Laboratory Demographics

  • CLIA Code: 28D2040589
  • Facility Name: AVERA MEDICAL GROUP PAGE
  • Facility Address: 103 NORTH 5TH STREET
    PAGE, NE
    ZIP 68766
  • Facility Phone: 402 338-5452
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. KRISTIN K. KLEIN
  • NPI Number: 1184990152
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2040589
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP PAGE
Street 103 NORTH 5TH STREET
City PAGE
State NE
ZIP 68766
Phone 402 338-5452
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