28D2095935 CLIA NUMBER - WILCOX RURAL FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 28D2095935
  • Facility Name: WILCOX RURAL FIRE DISTRICT
  • Facility Address: 112 SOUTH MAIN STREET
    WILCOX, NE
    ZIP 68982
  • Facility Phone: 308 478-5499
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. DUSTIN A. JOHNSON
  • NPI Number: 1205029121
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2095935
LAB Type Ambulance
Facility Name WILCOX RURAL FIRE DISTRICT
Street 112 SOUTH MAIN STREET
City WILCOX
State NE
ZIP 68982
Phone 308 478-5499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Ambulance
Lab Director MR. DUSTIN A. JOHNSON

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