28D1047815 CLIA NUMBER - VERDIGRE RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 28D1047815
  • Facility Name: VERDIGRE RESCUE SQUAD
  • Facility Address: 106 3RD AVE
    VERDIGRE, NE
    ZIP 68783
  • Facility Phone: 402 668-2824
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. MITCH MASTALIR
  • NPI Number: 1336181726
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D1047815
LAB Type Ambulance
Facility Name VERDIGRE RESCUE SQUAD
Street 106 3RD AVE
City VERDIGRE
State NE
ZIP 68783
Phone 402 668-2824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Ambulance
Lab Director MR. MITCH MASTALIR

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