28D0981070 CLIA NUMBER - VILLAGE OF BOYS TOWN DEPARTMENT OF FIRE RESCUE

Laboratory Demographics

CLIA Number: 28D0981070

Facility Name: VILLAGE OF BOYS TOWN DEPARTMENT OF FIRE RESCUE

Facility Address:
242 MONSKY DRIVE
BOYS TOWN, NE
ZIP 68010
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Facility Phone Number: 531 355-1147

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1508100793

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	28D0981070
LAB Type	Ambulance
Facility Name	VILLAGE OF BOYS TOWN DEPARTMENT OF FIRE RESCUE
Street	242 MONSKY DRIVE
City	BOYS TOWN
State	NE
ZIP	68010
Phone	531 355-1147
CertificateType	4
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024