28D2174153 CLIA NUMBER - APOLLO MEDFLIGHT

Laboratory Demographics

CLIA Number: 28D2174153

Facility Name: APOLLO MEDFLIGHT

Facility Address:
4965 AIPORT RD
KEARNEY, NE
ZIP 68847
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Facility Phone Number: 806 242-4040

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1578102547

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	28D2174153
LAB Type	Ambulance
Facility Name	APOLLO MEDFLIGHT
Street	4965 AIPORT RD
City	KEARNEY
State	NE
ZIP	68847
Phone	806 242-4040
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024