28D2146027 CLIA NUMBER - COMPLETE CARE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 28D2146027
  • Facility Name: COMPLETE CARE FAMILY PRACTICE
  • Facility Address: 713 1/2 WEST 27TH STREET
    SCOTTSBLUFF, NE
    ZIP 69361
  • Facility Phone: 308 641-4052
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. JODENE BURKHART
  • NPI Number: 1679079669
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D2146027
LAB Type Physician Office
Facility Name COMPLETE CARE FAMILY PRACTICE
Street 713 1/2 WEST 27TH STREET
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 308 641-4052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director MS. JODENE BURKHART

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