28D2114653 CLIA NUMBER - NORFOLK MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 28D2114653
  • Facility Name: NORFOLK MEDICAL GROUP, LLC
  • Facility Address: 3901 W NORFOLK AVE SUITE D
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: 402 844-8030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAWNA R. HEGGEMEYER
  • NPI Number: 1194243410
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D2114653
LAB Type Physician Office
Facility Name NORFOLK MEDICAL GROUP, LLC
Street 3901 W NORFOLK AVE SUITE D
City NORFOLK
State NE
ZIP 68701
Phone 402 844-8030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director SHAWNA R. HEGGEMEYER

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