28D0983463 CLIA NUMBER - YUTAN RURAL FIRE DISTRICT

Laboratory Demographics

CLIA Number: 28D0983463

Facility Name: YUTAN RURAL FIRE DISTRICT

Facility Address:
102 VINE STREET
YUTAN, NE
ZIP 68073
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Facility Phone Number: 402 625-2273

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1982746954

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	28D0983463
LAB Type	Ambulance
Facility Name	YUTAN RURAL FIRE DISTRICT
Street	102 VINE STREET
City	YUTAN
State	NE
ZIP	68073
Phone	402 625-2273
CertificateType	4
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	Waiver

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