28D2174391 CLIA NUMBER - GLENVIL AMBULANCE

Laboratory Demographics

  • CLIA Code: 28D2174391
  • Facility Name: GLENVIL AMBULANCE
  • Facility Address: 201 WINTERS AVE
    GLENVIL, NE
    ZIP 68941
  • Facility Phone: 402 984-3780
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. COLBY A. JENSEN
  • NPI Number: 1700896651
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2174391
LAB Type Ambulance
Facility Name GLENVIL AMBULANCE
Street 201 WINTERS AVE
City GLENVIL
State NE
ZIP 68941
Phone 402 984-3780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Ambulance
Lab Director MR. COLBY A. JENSEN

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