52D0998073 CLIA NUMBER - WESTERN LAKES FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 52D0998073
  • Facility Name: WESTERN LAKES FIRE DISTRICT
  • Facility Address: 1400 OCONOMOWOC PARKWAY
    OCONOMOWOC, WI
    ZIP 53066
  • Facility Phone: 262 965-2262
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MS. KAMI WARREN
  • NPI Number: 1588715213
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0998073
LAB Type Ambulance
Facility Name WESTERN LAKES FIRE DISTRICT
Street 1400 OCONOMOWOC PARKWAY
City OCONOMOWOC
State WI
ZIP 53066
Phone 262 965-2262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Ambulance
Lab Director MS. KAMI WARREN

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