28D2272583 CLIA NUMBER - TIM MASON FAMILY MEDICINE AND WOUND CARE

Laboratory Demographics

  • CLIA Code: 28D2272583
  • Facility Name: TIM MASON FAMILY MEDICINE AND WOUND CARE
  • Facility Address: 5205 2ND AVE STE 3
    KEARNEY, NE
    ZIP 68847
  • Facility Phone: 308 440-2983
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY S. MASON
  • NPI Number: 1154047389
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2272583
LAB Type Practitioner Other
Facility Name TIM MASON FAMILY MEDICINE AND WOUND CARE
Street 5205 2ND AVE STE 3
City KEARNEY
State NE
ZIP 68847
Phone 308 440-2983
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Practitioner Other
Lab Director TIMOTHY S. MASON

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