52D0982546 CLIA NUMBER - WAUSAUKEE RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 52D0982546
  • Facility Name: WAUSAUKEE RESCUE SQUAD
  • Facility Address: 429 HARRISON ST PO BOX 318
    WAUSAUKEE, WI
    ZIP 54177
  • Facility Phone: 715 856-5035
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GEORGI KAPALCZYNSKI
  • NPI Number: 1235307612
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0982546
LAB Type Ambulance
Facility Name WAUSAUKEE RESCUE SQUAD
Street 429 HARRISON ST PO BOX 318
City WAUSAUKEE
State WI
ZIP 54177
Phone 715 856-5035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Ambulance
Lab Director GEORGI KAPALCZYNSKI

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