52D0990573 CLIA NUMBER - SHULLSBURG AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 52D0990573
  • Facility Name: SHULLSBURG AMBULANCE SERVICE
  • Facility Address: 190 JUDGEMENT ST
    SHULLSBURG, WI
    ZIP 53586
  • Facility Phone: 608 965-4424
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW SOLVERSON
  • NPI Number: 1376506667
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0990573
LAB Type Ambulance
Facility Name SHULLSBURG AMBULANCE SERVICE
Street 190 JUDGEMENT ST
City SHULLSBURG
State WI
ZIP 53586
Phone 608 965-4424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Ambulance
Lab Director DR. MATTHEW SOLVERSON

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