52D0984145 CLIA NUMBER - TOWN OF DELAVAN EMS RESCUE SQUAD FIRE STATION

Laboratory Demographics

  • CLIA Code: 52D0984145
  • Facility Name: TOWN OF DELAVAN EMS RESCUE SQUAD FIRE STATION
  • Facility Address: 5698 TOWN HALL RD
    DELAVAN, WI
    ZIP 53115
  • Facility Phone: 262 728-3471
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LAWRENCE W. LESTER
  • NPI Number: 1285724690
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D0984145
LAB Type Ambulance
Facility Name TOWN OF DELAVAN EMS RESCUE SQUAD FIRE STATION
Street 5698 TOWN HALL RD
City DELAVAN
State WI
ZIP 53115
Phone 262 728-3471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Ambulance
Lab Director LAWRENCE W. LESTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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