28D0994022 CLIA NUMBER - SYRACUSE RESCUE SERVICE

Laboratory Demographics

  • CLIA Code: 28D0994022
  • Facility Name: SYRACUSE RESCUE SERVICE
  • Facility Address: 572 MOHAWK
    SYRACUSE, NE
    ZIP 68446
  • Facility Phone: 402 269-2111
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. STAACK
  • NPI Number: 1790065878
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D0994022
LAB Type Ambulance
Facility Name SYRACUSE RESCUE SERVICE
Street 572 MOHAWK
City SYRACUSE
State NE
ZIP 68446
Phone 402 269-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Ambulance
Lab Director JENNIFER A. STAACK

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