28D2054227 CLIA NUMBER - COLERIDGE AMBULANCE

Laboratory Demographics

  • CLIA Code: 28D2054227
  • Facility Name: COLERIDGE AMBULANCE
  • Facility Address: 211 EAST BROADWAY
    COLERIDGE, NE
    ZIP 68727
  • Facility Phone: 402 283-4218
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MARK MCCORKINDALE
  • NPI Number: 1619095569
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2054227
LAB Type Ambulance
Facility Name COLERIDGE AMBULANCE
Street 211 EAST BROADWAY
City COLERIDGE
State NE
ZIP 68727
Phone 402 283-4218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Ambulance
Lab Director DR. MARK MCCORKINDALE

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