28D2098758 CLIA NUMBER - STAPLEHURST VOLUNTEER FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 28D2098758
  • Facility Name: STAPLEHURST VOLUNTEER FIRE DEPARTMENT
  • Facility Address: 155 SOUTH 3RD STREET
    STAPLEHURST, NE
    ZIP 68439
  • Facility Phone: 402 641-1562
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT WALL
  • NPI Number: 1366268591
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D2098758
LAB Type Ambulance
Facility Name STAPLEHURST VOLUNTEER FIRE DEPARTMENT
Street 155 SOUTH 3RD STREET
City STAPLEHURST
State NE
ZIP 68439
Phone 402 641-1562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Ambulance
Lab Director DR. ROBERT WALL

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