52D0394116 CLIA NUMBER - MARQUETTE COUNTY EMS

Laboratory Demographics

CLIA Number: 52D0394116

Facility Name: MARQUETTE COUNTY EMS

Facility Address:
480 UNDERWOOD AVE PO BOX 181
MONTELLO, WI
ZIP 53949
Get Directions

Facility Phone Number: 608 297-3125

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1821479239

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	52D0394116
LAB Type	Ambulance
Facility Name	MARQUETTE COUNTY EMS
Street	480 UNDERWOOD AVE PO BOX 181
City	MONTELLO
State	WI
ZIP	53949
Phone	608 297-3125
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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