28D2167400 CLIA NUMBER - BRAINARD FIRE & RESCUE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 28D2167400
  • Facility Name: BRAINARD FIRE & RESCUE DEPARTMENT
  • Facility Address: 116 E WASHINGTON
    BRAINARD, NE
    ZIP 68626
  • Facility Phone: 402 367-8456
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. JOHN BONGERS
  • NPI Number: 1962463117
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2167400
LAB Type Ambulance
Facility Name BRAINARD FIRE & RESCUE DEPARTMENT
Street 116 E WASHINGTON
City BRAINARD
State NE
ZIP 68626
Phone 402 367-8456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Ambulance
Lab Director MR. JOHN BONGERS

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