52D0985226 CLIA NUMBER - SHIOCTON-BOVINA FD/EMS

Laboratory Demographics

  • CLIA Code: 52D0985226
  • Facility Name: SHIOCTON-BOVINA FD/EMS
  • Facility Address: W7746 PINE ST PO BOX 238
    SHIOCTON, WI
    ZIP 54170
  • Facility Phone: 920 986-3232
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: EUGENE H. BUNNELL
  • NPI Number: 1568679934
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0985226
LAB Type Ambulance
Facility Name SHIOCTON-BOVINA FD/EMS
Street W7746 PINE ST PO BOX 238
City SHIOCTON
State WI
ZIP 54170
Phone 920 986-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Ambulance
Lab Director EUGENE H. BUNNELL

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