28D1086849 CLIA NUMBER - BLUE HILL AMBULANCE WEBSTER COUNTY BLUE HILL FIRE STATION

Laboratory Demographics

  • CLIA Code: 28D1086849
  • Facility Name: BLUE HILL AMBULANCE WEBSTER COUNTY BLUE HILL FIRE STATION
  • Facility Address: 410 W GAGE
    BLUE HILL, NE
    ZIP 68930
  • Facility Phone: 402 461-0915
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BEN FAGO
  • NPI Number: 1508527110
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 28D1086849
LAB Type Ambulance
Facility Name BLUE HILL AMBULANCE WEBSTER COUNTY BLUE HILL FIRE STATION
Street 410 W GAGE
City BLUE HILL
State NE
ZIP 68930
Phone 402 461-0915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Ambulance
Lab Director DR. BEN FAGO

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