28D2082649 CLIA NUMBER - DESHLER VOLUNTEER FIRE/RESCUE

Laboratory Demographics

  • CLIA Code: 28D2082649
  • Facility Name: DESHLER VOLUNTEER FIRE/RESCUE
  • Facility Address: 404 EAST PEARL
    DESHLER, NE
    ZIP 68340
  • Facility Phone: 402 365-7750
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. MONTE STOUFFER
  • NPI Number: 1780730382
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2082649
LAB Type Ambulance
Facility Name DESHLER VOLUNTEER FIRE/RESCUE
Street 404 EAST PEARL
City DESHLER
State NE
ZIP 68340
Phone 402 365-7750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Ambulance
Lab Director MR. MONTE STOUFFER

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