28D0992693 CLIA NUMBER - SUPERIOR VOLUNTEER RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 28D0992693
  • Facility Name: SUPERIOR VOLUNTEER RESCUE SQUAD
  • Facility Address: 154 W 5TH
    SUPERIOR, NE
    ZIP 68978
  • Facility Phone: 402 879-4713
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TIMOTHY D. BLECHA
  • NPI Number: 1275905689
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0992693
LAB Type Ambulance
Facility Name SUPERIOR VOLUNTEER RESCUE SQUAD
Street 154 W 5TH
City SUPERIOR
State NE
ZIP 68978
Phone 402 879-4713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Ambulance
Lab Director TIMOTHY D. BLECHA

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