52D1000530 CLIA NUMBER - NEILLSVILLE MUNICIPAL AMBULANCE

Laboratory Demographics

  • CLIA Code: 52D1000530
  • Facility Name: NEILLSVILLE MUNICIPAL AMBULANCE
  • Facility Address: 301 SUNSET PLACE
    NEILLSVILLE, WI
    ZIP 54456
  • Facility Phone: 715 797-1175
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KENNETH MARG
  • NPI Number: 1861446403
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D1000530
LAB Type Ambulance
Facility Name NEILLSVILLE MUNICIPAL AMBULANCE
Street 301 SUNSET PLACE
City NEILLSVILLE
State WI
ZIP 54456
Phone 715 797-1175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Ambulance
Lab Director KENNETH MARG

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