28D2055297 CLIA NUMBER - CHI HEALTH CLINIC GOOD SAMARITAN

Laboratory Demographics

  • CLIA Code: 28D2055297
  • Facility Name: CHI HEALTH CLINIC GOOD SAMARITAN
  • Facility Address: 3219 CENTRAL AVENUE, SUITE 200
    KEARNEY, NE
    ZIP 68847
  • Facility Phone: 308 865-2370
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ABHISEKH SINHA RAY
  • NPI Number: 1023033776
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2055297
LAB Type Physician Office
Facility Name CHI HEALTH CLINIC GOOD SAMARITAN
Street 3219 CENTRAL AVENUE, SUITE 200
City KEARNEY
State NE
ZIP 68847
Phone 308 865-2370
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director DR. ABHISEKH SINHA RAY

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