28D2085322 CLIA NUMBER - LIFENET AIR MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 28D2085322
  • Facility Name: LIFENET AIR MEDICAL SERVICES
  • Facility Address: 601 WEST LEOTA
    NORTH PLATTE, NE
    ZIP 69101
  • Facility Phone: 402 290-8705
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. SHANE MOHR
  • NPI Number: 1972017523
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2085322
LAB Type Ambulance
Facility Name LIFENET AIR MEDICAL SERVICES
Street 601 WEST LEOTA
City NORTH PLATTE
State NE
ZIP 69101
Phone 402 290-8705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Ambulance
Lab Director MR. SHANE MOHR

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