28D1077953 CLIA NUMBER - DOUGLAS RESCUE

Laboratory Demographics

  • CLIA Code: 28D1077953
  • Facility Name: DOUGLAS RESCUE
  • Facility Address: 104 MAIN STREET
    DOUGLAS, NE
    ZIP 68344
  • Facility Phone: 402 799-2800
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RANDY HOLDSWORTH
  • NPI Number: 1568452316
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D1077953
LAB Type Ambulance
Facility Name DOUGLAS RESCUE
Street 104 MAIN STREET
City DOUGLAS
State NE
ZIP 68344
Phone 402 799-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Ambulance
Lab Director RANDY HOLDSWORTH

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This page was last updated on: 6/4/2025