28D1071291 CLIA NUMBER - GENOA RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 28D1071291
  • Facility Name: GENOA RESCUE SQUAD
  • Facility Address: 512 WILLARD AVE
    GENOA, NE
    ZIP 68640
  • Facility Phone: 402 993-2330
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRIAN BUHLKE DO
  • NPI Number: 1487621561
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D1071291
LAB Type Ambulance
Facility Name GENOA RESCUE SQUAD
Street 512 WILLARD AVE
City GENOA
State NE
ZIP 68640
Phone 402 993-2330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2023
Certificate Expiration Date 7/22/2025
Facility Type Ambulance
Lab Director BRIAN BUHLKE DO

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This page was last updated on: 3/20/2025