52D0990814 CLIA NUMBER - DALLAS AREA AMBULANCE

Laboratory Demographics

  • CLIA Code: 52D0990814
  • Facility Name: DALLAS AREA AMBULANCE
  • Facility Address: 115 E BREWSTER ST
    PRAIRIE FARM, WI
    ZIP 54762
  • Facility Phone: 715 455-1575
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MS. LINDA L. AMBROSE
  • NPI Number: 1386720159
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0990814
LAB Type Ambulance
Facility Name DALLAS AREA AMBULANCE
Street 115 E BREWSTER ST
City PRAIRIE FARM
State WI
ZIP 54762
Phone 715 455-1575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Ambulance
Lab Director MS. LINDA L. AMBROSE

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