52D0981844 CLIA NUMBER - PLUM LAKE AMBULANCE

Laboratory Demographics

  • CLIA Code: 52D0981844
  • Facility Name: PLUM LAKE AMBULANCE
  • Facility Address: 2821 STATE HWY 155
    SAYNER, WI
    ZIP 54560
  • Facility Phone: 715 542-2619
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. KEVIN J. RASMUSSEN

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CLIA Record

Field Name Field Value
CLIA Number 52D0981844
LAB Type Ambulance
Facility Name PLUM LAKE AMBULANCE
Street 2821 STATE HWY 155
City SAYNER
State WI
ZIP 54560
Phone 715 542-2619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Ambulance
Lab Director MR. KEVIN J. RASMUSSEN

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