28D2119100 CLIA NUMBER - WILLIAM V FATTIG MD

Laboratory Demographics

  • CLIA Code: 28D2119100
  • Facility Name: WILLIAM V FATTIG MD
  • Facility Address: 723 FLACK AVE
    ALLIANCE, NE
    ZIP 69301
  • Facility Phone: 308 225-4498
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM V. FATTIG
  • NPI Number: 1811071442
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D2119100
LAB Type Physician Office
Facility Name WILLIAM V FATTIG MD
Street 723 FLACK AVE
City ALLIANCE
State NE
ZIP 69301
Phone 308 225-4498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director DR. WILLIAM V. FATTIG

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