28D2094583 CLIA NUMBER - UNADILLA VOLUNTEER FIRE AND RESCUE

Laboratory Demographics

  • CLIA Code: 28D2094583
  • Facility Name: UNADILLA VOLUNTEER FIRE AND RESCUE
  • Facility Address: 522 MAIN STREET
    UNADILLA, NE
    ZIP 68454
  • Facility Phone: 402 828-4085
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. BEN LESEBERG
  • NPI Number: 1033282249
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2094583
LAB Type Ambulance
Facility Name UNADILLA VOLUNTEER FIRE AND RESCUE
Street 522 MAIN STREET
City UNADILLA
State NE
ZIP 68454
Phone 402 828-4085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Ambulance
Lab Director MR. BEN LESEBERG

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This page was last updated on: 6/4/2025