28D0999761 CLIA NUMBER - FAIRFIELD FIRE & RESCUE

Laboratory Demographics

  • CLIA Code: 28D0999761
  • Facility Name: FAIRFIELD FIRE & RESCUE
  • Facility Address: 503 NORTH D STREET
    FAIRFIELD, NE
    ZIP 68938
  • Facility Phone: 402 726-2121
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL SULLIVAN
  • NPI Number: 1508017583
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D0999761
LAB Type Ambulance
Facility Name FAIRFIELD FIRE & RESCUE
Street 503 NORTH D STREET
City FAIRFIELD
State NE
ZIP 68938
Phone 402 726-2121
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 DR. MICHAEL SULLIVAN

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