52D0987210 CLIA NUMBER - GREENWOOD AREA AMBULANCE

Laboratory Demographics

  • CLIA Code: 52D0987210
  • Facility Name: GREENWOOD AREA AMBULANCE
  • Facility Address: 103 CANNERY ST
    GREENWOOD, WI
    ZIP 54437
  • Facility Phone: 715 267-7256
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. DELMOND R. HORN
  • NPI Number: 1053590653
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D0987210
LAB Type Ambulance
Facility Name GREENWOOD AREA AMBULANCE
Street 103 CANNERY ST
City GREENWOOD
State WI
ZIP 54437
Phone 715 267-7256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Ambulance
Lab Director MR. DELMOND R. HORN

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