52D0911840 CLIA NUMBER - DELLS-DELTON EMS

Laboratory Demographics

  • CLIA Code: 52D0911840
  • Facility Name: DELLS-DELTON EMS
  • Facility Address: 45 MILLER DR
    LAKE DELTON, WI
    ZIP 53940
  • Facility Phone: 608 254-2159
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DILLON M. GAVINSKI
  • NPI Number: 1821043910
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D0911840
LAB Type Ambulance
Facility Name DELLS-DELTON EMS
Street 45 MILLER DR
City LAKE DELTON
State WI
ZIP 53940
Phone 608 254-2159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Ambulance
Lab Director DILLON M. GAVINSKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025