28D0988068 CLIA NUMBER - MITCHELL VOLUNTEER FIRE DEPARTMENT RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 28D0988068
  • Facility Name: MITCHELL VOLUNTEER FIRE DEPARTMENT RESCUE SQUAD
  • Facility Address: 1145 CENTER AVENUE
    MITCHELL, NE
    ZIP 69357
  • Facility Phone: 308 623-1523
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. GLENN J. EBERSPECHER
  • NPI Number: 1669449781
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D0988068
LAB Type Ambulance
Facility Name MITCHELL VOLUNTEER FIRE DEPARTMENT RESCUE SQUAD
Street 1145 CENTER AVENUE
City MITCHELL
State NE
ZIP 69357
Phone 308 623-1523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Ambulance
Lab Director MR. GLENN J. EBERSPECHER

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