52D0930694 CLIA NUMBER - RIPON GUARDIAN AMBULANCE

Laboratory Demographics

  • CLIA Code: 52D0930694
  • Facility Name: RIPON GUARDIAN AMBULANCE
  • Facility Address: 100 JACKSON ST
    RIPON, WI
    ZIP 54971
  • Facility Phone: 920 748-9493
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LINABETH ANGLE
  • NPI Number: 1891798864
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0930694
LAB Type Ambulance
Facility Name RIPON GUARDIAN AMBULANCE
Street 100 JACKSON ST
City RIPON
State WI
ZIP 54971
Phone 920 748-9493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Ambulance
Lab Director LINABETH ANGLE

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