28D2132431 CLIA NUMBER - MIDWEST IMAGING

Laboratory Demographics

  • CLIA Code: 28D2132431
  • Facility Name: MIDWEST IMAGING
  • Facility Address: 730 DIERS AVENUE
    GRAND ISLAND, NE
    ZIP 68803
  • Facility Phone: 308 398-1344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. TERRI M. BROWN
  • NPI Number: 1548375801
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2132431
LAB Type Physician Office
Facility Name MIDWEST IMAGING
Street 730 DIERS AVENUE
City GRAND ISLAND
State NE
ZIP 68803
Phone 308 398-1344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director MS. TERRI M. BROWN

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