28D2327227 CLIA NUMBER - BLAINE COUNTY RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 28D2327227
  • Facility Name: BLAINE COUNTY RESCUE SQUAD
  • Facility Address: 355 MANDERSON STREET
    BREWSTER, NE
    ZIP 68821
  • Facility Phone: 308 520-3697
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TODD A. JENSEN
  • NPI Number: 1912902818
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 28D2327227
LAB Type Ambulance
Facility Name BLAINE COUNTY RESCUE SQUAD
Street 355 MANDERSON STREET
City BREWSTER
State NE
ZIP 68821
Phone 308 520-3697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Ambulance
Lab Director TODD A. JENSEN

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