52D0988727 CLIA NUMBER - EDGAR VOLUNTEER FIRE DEPARTMENT INC

Laboratory Demographics

  • CLIA Code: 52D0988727
  • Facility Name: EDGAR VOLUNTEER FIRE DEPARTMENT INC
  • Facility Address: 108 E BEECH ST
    EDGAR, WI
    ZIP 54426
  • Facility Phone: 715 352-2892
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GREG A. KORNACK
  • NPI Number: 1619003662
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0988727
LAB Type Ambulance
Facility Name EDGAR VOLUNTEER FIRE DEPARTMENT INC
Street 108 E BEECH ST
City EDGAR
State WI
ZIP 54426
Phone 715 352-2892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Ambulance
Lab Director GREG A. KORNACK

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