28D0985241 CLIA NUMBER - CHASE COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 28D0985241
  • Facility Name: CHASE COUNTY AMBULANCE
  • Facility Address: 921 BROADWAY STREET 2ND FLOOR
    IMPERIAL, NE
    ZIP 69033
  • Facility Phone: 308 882-7520
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JACCI BROWN
  • NPI Number: 1346707395
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 28D0985241
LAB Type Ambulance
Facility Name CHASE COUNTY AMBULANCE
Street 921 BROADWAY STREET 2ND FLOOR
City IMPERIAL
State NE
ZIP 69033
Phone 308 882-7520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Ambulance
Lab Director JACCI BROWN

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