52D0725408 CLIA NUMBER - ASHWAUBENON PUBLIC SAFETY

Laboratory Demographics

  • CLIA Code: 52D0725408
  • Facility Name: ASHWAUBENON PUBLIC SAFETY
  • Facility Address: 2155 HOLMGREN WAY
    GREEN BAY, WI
    ZIP 54304
  • Facility Phone: (920) 492-2995
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TOM BAXTER

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CLIA Record

Field Name Field Value
CLIA Number 52D0725408
LAB Type Ambulance
Facility Name ASHWAUBENON PUBLIC SAFETY
Street 2155 HOLMGREN WAY
City GREEN BAY
State WI
ZIP 54304
Phone 9204922995
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 TOM BAXTER

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This page was last updated on: 5/18/2026