28D0999107 CLIA NUMBER - WINSIDE RESCUE UNIT

Laboratory Demographics

  • CLIA Code: 28D0999107
  • Facility Name: WINSIDE RESCUE UNIT
  • Facility Address: 202 MAIN STREET
    WINSIDE, NE
    ZIP 68790
  • Facility Phone: 402 286-4815
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BENJAMIN J. MARTIN
  • NPI Number: 1184945081
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D0999107
LAB Type Ambulance
Facility Name WINSIDE RESCUE UNIT
Street 202 MAIN STREET
City WINSIDE
State NE
ZIP 68790
Phone 402 286-4815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Ambulance
Lab Director BENJAMIN J. MARTIN

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