52D0962616 CLIA NUMBER - GORDON-WASCOTT EMS

Laboratory Demographics

  • CLIA Code: 52D0962616
  • Facility Name: GORDON-WASCOTT EMS
  • Facility Address: 14497 S SNOWBERRY LN
    GORDON, WI
    ZIP 54838
  • Facility Phone: 715 376-2640
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MS. BETTY EBERT
  • NPI Number: 1194828095
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0962616
LAB Type Ambulance
Facility Name GORDON-WASCOTT EMS
Street 14497 S SNOWBERRY LN
City GORDON
State WI
ZIP 54838
Phone 715 376-2640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Ambulance
Lab Director MS. BETTY EBERT

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