52D0980648 CLIA NUMBER - TESS CORNERS VOL FIRE DEPT

Laboratory Demographics

  • CLIA Code: 52D0980648
  • Facility Name: TESS CORNERS VOL FIRE DEPT
  • Facility Address: W144 S6731 TESS CORNERS DR
    MUSKEGO, WI
    ZIP 53150
  • Facility Phone: 414 422-9733
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARTIN RUKEVINA
  • NPI Number: 1891801015
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0980648
LAB Type Ambulance
Facility Name TESS CORNERS VOL FIRE DEPT
Street W144 S6731 TESS CORNERS DR
City MUSKEGO
State WI
ZIP 53150
Phone 414 422-9733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Ambulance
Lab Director MARTIN RUKEVINA

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