28D1037682 CLIA NUMBER - PALMYRA RESCUE SERVICE

Laboratory Demographics

  • CLIA Code: 28D1037682
  • Facility Name: PALMYRA RESCUE SERVICE
  • Facility Address: 230 W 5TH STREET
    PALMYRA, NE
    ZIP 68418
  • Facility Phone: 402 780-5647
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JASON KRUGER
  • NPI Number: 1598774523
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D1037682
LAB Type Ambulance
Facility Name PALMYRA RESCUE SERVICE
Street 230 W 5TH STREET
City PALMYRA
State NE
ZIP 68418
Phone 402 780-5647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Ambulance
Lab Director DR. JASON KRUGER

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