52D0394116 CLIA NUMBER - MARQUETTE COUNTY EMS

Laboratory Demographics

  • CLIA Code: 52D0394116
  • Facility Name: MARQUETTE COUNTY EMS
  • Facility Address: 480 UNDERWOOD AVE PO BOX 181
    MONTELLO, WI
    ZIP 53949
  • Facility Phone: 608 297-3125
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT LULLING
  • NPI Number: 1821479239
  • Taxonomy: 251S00000X - Community/Behavioral Health

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulance
Lab Director ROBERT LULLING

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