28D1075586 CLIA NUMBER - BLOOMFIELD AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 28D1075586

Facility Name: BLOOMFIELD AMBULANCE SERVICE

Facility Address:
211 N BROADWAY
BLOOMFIELD, NE
ZIP 68718
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Facility Phone Number: 402 373-2421

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1902355951

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	28D1075586
LAB Type	Ambulance
Facility Name	BLOOMFIELD AMBULANCE SERVICE
Street	211 N BROADWAY
City	BLOOMFIELD
State	NE
ZIP	68718
Phone	402 373-2421
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024