52D0994401 CLIA NUMBER - NORTH SHORE FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 52D0994401
  • Facility Name: NORTH SHORE FIRE DEPARTMENT
  • Facility Address: 5901 N MILWAUKEE RIVER PARKWAY
    GLENDALE, WI
    ZIP 53209
  • Facility Phone: 414 357-0113
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. ROBERT C. WHITAKER
  • NPI Number: 1437265857
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0994401
LAB Type Ambulance
Facility Name NORTH SHORE FIRE DEPARTMENT
Street 5901 N MILWAUKEE RIVER PARKWAY
City GLENDALE
State WI
ZIP 53209
Phone 414 357-0113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Ambulance
Lab Director MR. ROBERT C. WHITAKER

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