52D0989194 CLIA NUMBER - CRIVITZ RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 52D0989194
  • Facility Name: CRIVITZ RESCUE SQUAD INC
  • Facility Address: 1020 HENRIETTE AVE PO BOX 666
    CRIVITZ, WI
    ZIP 54114
  • Facility Phone: 715 854-7666
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BARBARA TOBISON
  • NPI Number: 1780637595
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0989194
LAB Type Ambulance
Facility Name CRIVITZ RESCUE SQUAD INC
Street 1020 HENRIETTE AVE PO BOX 666
City CRIVITZ
State WI
ZIP 54114
Phone 715 854-7666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Ambulance
Lab Director BARBARA TOBISON

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