28D0999760 CLIA NUMBER - SOUTH SIOUX CITY FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 28D0999760
  • Facility Name: SOUTH SIOUX CITY FIRE DEPARTMENT
  • Facility Address: 1501 DAKOTA AVENUE
    SOUTH SIOUX CITY, NE
    ZIP 68776
  • Facility Phone: 402 494-7508
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: QWINN WRIGHT
  • NPI Number: 1043251754
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D0999760
LAB Type Ambulance
Facility Name SOUTH SIOUX CITY FIRE DEPARTMENT
Street 1501 DAKOTA AVENUE
City SOUTH SIOUX CITY
State NE
ZIP 68776
Phone 402 494-7508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Ambulance
Lab Director QWINN WRIGHT

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