28D2277414 CLIA NUMBER - TD NURSE PRACTITIONER SERVICES

Laboratory Demographics

  • CLIA Code: 28D2277414
  • Facility Name: TD NURSE PRACTITIONER SERVICES
  • Facility Address: 4972 COUNTY ROAD
    FORT CALHOUN, NE
    ZIP 68023
  • Facility Phone: 402 641-8822
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TERESA DOWLING
  • NPI Number: 1942907399
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2277414
LAB Type Mobile Laboratory
Facility Name TD NURSE PRACTITIONER SERVICES
Street 4972 COUNTY ROAD
City FORT CALHOUN
State NE
ZIP 68023
Phone 402 641-8822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Mobile Laboratory
Lab Director TERESA DOWLING

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