28D2054232 CLIA NUMBER - AUBURN RESCUE SQUAD, INC

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Laboratory Demographics

CLIA Number: 28D2054232

Facility Name: AUBURN RESCUE SQUAD, INC

Facility Address:
1517 17TH STREET
AUBURN, NE
ZIP 68305
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Facility Phone Number: 402 274-3420

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1952712119

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	28D2054232
LAB Type	Ambulance
Facility Name	AUBURN RESCUE SQUAD, INC
Street	1517 17TH STREET
City	AUBURN
State	NE
ZIP	68305
Phone	402 274-3420
CertificateType	4
CertificateEffectiveDate	2/15/2023
CertificateExpirationDate	2/14/2025
FacilityType	Waiver

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