52D0979905 CLIA NUMBER - KETTLE MORAINE FIRE DISTRICT STATION 33

Laboratory Demographics

  • CLIA Code: 52D0979905
  • Facility Name: KETTLE MORAINE FIRE DISTRICT STATION 33
  • Facility Address: 126 MAIN ST PO BOX 186
    EAGLE, WI
    ZIP 53119
  • Facility Phone: 262 594-3302
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. STEVE WILTON
  • NPI Number: 1881354124
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D0979905
LAB Type Ambulance
Facility Name KETTLE MORAINE FIRE DISTRICT STATION 33
Street 126 MAIN ST PO BOX 186
City EAGLE
State WI
ZIP 53119
Phone 262 594-3302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Ambulance
Lab Director MR. STEVE WILTON

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: 9/29/2025