28D2118459 CLIA NUMBER - CENTRAL NEBRASKA CHILDREN & ADOLESCENT CLINIC - GI

Laboratory Demographics

  • CLIA Code: 28D2118459
  • Facility Name: CENTRAL NEBRASKA CHILDREN & ADOLESCENT CLINIC - GI
  • Facility Address: 3016 W FAIDLEY AVE
    GRAND ISLAND, NE
    ZIP 68803
  • Facility Phone: 308 675-3171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRI M. BROWN
  • NPI Number: 1477667913
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 28D2118459
LAB Type Physician Office
Facility Name CENTRAL NEBRASKA CHILDREN & ADOLESCENT CLINIC - GI
Street 3016 W FAIDLEY AVE
City GRAND ISLAND
State NE
ZIP 68803
Phone 308 675-3171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director TERRI M. BROWN

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