52D0981993 CLIA NUMBER - CHIPPEWA FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 52D0981993
  • Facility Name: CHIPPEWA FIRE DISTRICT
  • Facility Address: 13140 30TH AVE
    CHIPPEWA FALLS, WI
    ZIP 54729
  • Facility Phone: 715 723-5488
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. SCOTT BERNETTE
  • NPI Number: 1922051960
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0981993
LAB Type Ambulance
Facility Name CHIPPEWA FIRE DISTRICT
Street 13140 30TH AVE
City CHIPPEWA FALLS
State WI
ZIP 54729
Phone 715 723-5488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Ambulance
Lab Director MR. SCOTT BERNETTE

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