52D0983176 CLIA NUMBER - BELMONT AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 52D0983176
  • Facility Name: BELMONT AMBULANCE SERVICE
  • Facility Address: 103 MARKET ST PO BOX 52
    BELMONT, WI
    ZIP 53510
  • Facility Phone: 608 762-5414
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. BRANDON J. MASBRUCH
  • NPI Number: 1831265644
  • Taxonomy: 146N00000X - Emergency Medical Technician, Basic

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CLIA Record

Field Name Field Value
CLIA Number 52D0983176
LAB Type Ambulance
Facility Name BELMONT AMBULANCE SERVICE
Street 103 MARKET ST PO BOX 52
City BELMONT
State WI
ZIP 53510
Phone 608 762-5414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Ambulance
Lab Director MR. BRANDON J. MASBRUCH

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