28D2046185 CLIA NUMBER - REGIONAL WEST PHYSICIANS CLINIC - NEUROSCIENCE PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 28D2046185
  • Facility Name: REGIONAL WEST PHYSICIANS CLINIC - NEUROSCIENCE PAIN CLINIC
  • Facility Address: TWO WEST 42ND STREET, SUITE 1300
    SCOTTSBLUFF, NE
    ZIP 69361
  • Facility Phone: 308 630-2992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD G. WILROY
  • NPI Number: 1659528412
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2046185
LAB Type Physician Office
Facility Name REGIONAL WEST PHYSICIANS CLINIC - NEUROSCIENCE PAIN CLINIC
Street TWO WEST 42ND STREET, SUITE 1300
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 308 630-2992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director DR. RICHARD G. WILROY

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