28D2010567 CLIA NUMBER - NICKERSON VOLUNTEER FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 28D2010567
  • Facility Name: NICKERSON VOLUNTEER FIRE DEPARTMENT
  • Facility Address: 101 NORTH MAPLE
    NICKERSON, NE
    ZIP 68044
  • Facility Phone: 402 721-8888
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. GILDOW
  • NPI Number: 1033285556
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2010567
LAB Type Ambulance
Facility Name NICKERSON VOLUNTEER FIRE DEPARTMENT
Street 101 NORTH MAPLE
City NICKERSON
State NE
ZIP 68044
Phone 402 721-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Ambulance
Lab Director JEFFREY S. GILDOW

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