52D0994666 CLIA NUMBER - LJH AMBULANCE, INC

Laboratory Demographics

  • CLIA Code: 52D0994666
  • Facility Name: LJH AMBULANCE, INC
  • Facility Address: 6329 28TH AVENUE
    KENOSHA, WI
    ZIP 53144
  • Facility Phone: 844 533-6246
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN PIECHOWSKI
  • NPI Number: 1154471332
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0994666
LAB Type Ambulance
Facility Name LJH AMBULANCE, INC
Street 6329 28TH AVENUE
City KENOSHA
State WI
ZIP 53144
Phone 844 533-6246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Ambulance
Lab Director DR. BRIAN PIECHOWSKI

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