28D2116840 CLIA NUMBER - MARATHON HEALTH AT CARGILL-NEBRASKA CITY

Laboratory Demographics

  • CLIA Code: 28D2116840
  • Facility Name: MARATHON HEALTH AT CARGILL-NEBRASKA CITY
  • Facility Address: 1110 GRUNDMAN BLVD
    NEBRASKA CITY, NE
    ZIP 68410
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: MS. LAUREN HAVENS
  • NPI Number: 1104318369
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 28D2116840
LAB Type Other - ONSITE HEALTH CENTER
Facility Name MARATHON HEALTH AT CARGILL-NEBRASKA CITY
Street 1110 GRUNDMAN BLVD
City NEBRASKA CITY
State NE
ZIP 68410
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Other - ONSITE HEALTH CENTER
Lab Director MS. LAUREN HAVENS

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