28D0979678 CLIA NUMBER - VALLEY COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 28D0979678
  • Facility Name: VALLEY COUNTY AMBULANCE
  • Facility Address: 2707 L STREET
    ORD, NE
    ZIP 68862
  • Facility Phone: 308 728-4200
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. BENGSTON MD
  • NPI Number: 1427005800
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0979678
LAB Type Ambulance
Facility Name VALLEY COUNTY AMBULANCE
Street 2707 L STREET
City ORD
State NE
ZIP 68862
Phone 308 728-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Ambulance
Lab Director JENNIFER L. BENGSTON MD

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