28D2046631 CLIA NUMBER - MID-NEBRASKA INDIVIDUAL SERVICE, INC

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Field Name	Field Value
CLIA Number	28D2046631
LAB Type	Other - COMM BASED PRGM FOR DD
Facility Name	MID-NEBRASKA INDIVIDUAL SERVICE, INC
Street	216 N DENVER AVENUE
City	HASTINGS
State	NE
ZIP	68901
Phone	4024625107
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/7/2024
Certificate Expiration Date	9/6/2026
Facility Type	Other - COMM BASED PRGM FOR DD
Lab Director	MS. DIANE B. CAMPBELL

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