52D0885708 CLIA NUMBER - WHITEWATER FIRE AND EMS

Laboratory Demographics

  • CLIA Code: 52D0885708
  • Facility Name: WHITEWATER FIRE AND EMS
  • Facility Address: 312 W WHITEWATER ST
    WHITEWATER, WI
    ZIP 53190
  • Facility Phone: 262 473-0115
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JASON B. DEAN
  • NPI Number: 1730540774
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0885708
LAB Type Ambulance
Facility Name WHITEWATER FIRE AND EMS
Street 312 W WHITEWATER ST
City WHITEWATER
State WI
ZIP 53190
Phone 262 473-0115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Ambulance
Lab Director JASON B. DEAN

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