28D2040591 CLIA NUMBER - AVERA MEDICAL GROUP SPENCER

Laboratory Demographics

  • CLIA Code: 28D2040591
  • Facility Name: AVERA MEDICAL GROUP SPENCER
  • Facility Address: 103 SOUTH THAYER STREET
    SPENCER, NE
    ZIP 68777
  • Facility Phone: (402) 589-1328
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. KRISTIN K. KLEIN
  • NPI Number: 1629344692
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2040591
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP SPENCER
Street 103 SOUTH THAYER STREET
City SPENCER
State NE
ZIP 68777
Phone 4025891328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2026
Certificate Expiration Date 5/3/2028
Facility Type Physician Office
Lab Director MS. KRISTIN K. KLEIN

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This page was last updated on: 5/18/2026