28D1079892 CLIA NUMBER - VALPARAISO FIRE & RESCUE

Laboratory Demographics

  • CLIA Code: 28D1079892
  • Facility Name: VALPARAISO FIRE & RESCUE
  • Facility Address: 315 PINE
    VALPARAISO, NE
    ZIP 68065
  • Facility Phone: 402 784-3090
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEREK D. MATULKA
  • NPI Number: 1700956760
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D1079892
LAB Type Ambulance
Facility Name VALPARAISO FIRE & RESCUE
Street 315 PINE
City VALPARAISO
State NE
ZIP 68065
Phone 402 784-3090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Ambulance
Lab Director DEREK D. MATULKA

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