52D0999187 CLIA NUMBER - FOX LAKE FIRE DEPT EMS SECTION

Laboratory Demographics

  • CLIA Code: 52D0999187
  • Facility Name: FOX LAKE FIRE DEPT EMS SECTION
  • Facility Address: 248 E STATE ST
    FOX LAKE, WI
    ZIP 53933
  • Facility Phone: 920 928-6115
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEVE HOPP
  • NPI Number: 1184671448
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0999187
LAB Type Ambulance
Facility Name FOX LAKE FIRE DEPT EMS SECTION
Street 248 E STATE ST
City FOX LAKE
State WI
ZIP 53933
Phone 920 928-6115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Ambulance
Lab Director STEVE HOPP

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