28D1106556 CLIA NUMBER - SARGENT AMBULANCE

Laboratory Demographics

  • CLIA Code: 28D1106556
  • Facility Name: SARGENT AMBULANCE
  • Facility Address: 200 N 2ND STREET
    SARGENT, NE
    ZIP 68874
  • Facility Phone: 308 527-3647
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOHN KOLAR
  • NPI Number: 1457785313
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D1106556
LAB Type Ambulance
Facility Name SARGENT AMBULANCE
Street 200 N 2ND STREET
City SARGENT
State NE
ZIP 68874
Phone 308 527-3647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Ambulance
Lab Director JOHN KOLAR

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