52D0983780 CLIA NUMBER - BLACK RIVER FALLS EMS

Laboratory Demographics

  • CLIA Code: 52D0983780
  • Facility Name: BLACK RIVER FALLS EMS
  • Facility Address: 30 S WATER ST PO BOX 455
    BLACK RIVER FALLS, WI
    ZIP 54615
  • Facility Phone: 715 284-2656
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. A BRAD CHOWN
  • NPI Number: 1871582999
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0983780
LAB Type Ambulance
Facility Name BLACK RIVER FALLS EMS
Street 30 S WATER ST PO BOX 455
City BLACK RIVER FALLS
State WI
ZIP 54615
Phone 715 284-2656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Ambulance
Lab Director MR. A BRAD CHOWN

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