28D1062745 CLIA NUMBER - TALMAGE RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 28D1062745
  • Facility Name: TALMAGE RESCUE SQUAD
  • Facility Address: 205 MAIN STREET
    TALMAGE, NE
    ZIP 68448
  • Facility Phone: 402 264-3985
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRADLEY VASA MD
  • NPI Number: 1992768832
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D1062745
LAB Type Ambulance
Facility Name TALMAGE RESCUE SQUAD
Street 205 MAIN STREET
City TALMAGE
State NE
ZIP 68448
Phone 402 264-3985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Ambulance
Lab Director BRADLEY VASA MD

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