28D2304363 CLIA NUMBER - DR SCOTTY G

Laboratory Demographics

  • CLIA Code: 28D2304363
  • Facility Name: DR SCOTTY G
  • Facility Address: 214 N PEARL STREET
    WAYNE, NE
    ZIP 68787
  • Facility Phone: 402 360-3506
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOT N. GUBBELS
  • NPI Number: 1922862820
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 28D2304363
LAB Type Physician Office
Facility Name DR SCOTTY G
Street 214 N PEARL STREET
City WAYNE
State NE
ZIP 68787
Phone 402 360-3506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director SCOT N. GUBBELS

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