28D2243187 CLIA NUMBER - JOHNSON RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 28D2243187
  • Facility Name: JOHNSON RESCUE SQUAD INC
  • Facility Address: 105 MAIN ST
    JOHNSON, NE
    ZIP 68378
  • Facility Phone: 712 269-1303
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KRISTIN R. WOERLEN
  • NPI Number: 1073812178
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2243187
LAB Type Ambulance
Facility Name JOHNSON RESCUE SQUAD INC
Street 105 MAIN ST
City JOHNSON
State NE
ZIP 68378
Phone 712 269-1303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Ambulance
Lab Director KRISTIN R. WOERLEN

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