28D1089558 CLIA NUMBER - ROCK COUNTY AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 28D1089558

Facility Name: ROCK COUNTY AMBULANCE SERVICE

Facility Address:
103 E BUCHANAN
BASSETT, NE
ZIP 68714
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Facility Phone Number: 402 684-3366

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1326392960

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 28D1089558
LAB Type Ambulance
Facility Name ROCK COUNTY AMBULANCE SERVICE
Street 103 E BUCHANAN
City BASSETT
State NE
ZIP 68714
Phone 402 684-3366
CertificateType 4
CertificateEffectiveDate 9/19/2022
CertificateExpirationDate 9/18/2024
FacilityType Waiver

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