52D1001151 CLIA NUMBER - ELKHORN AREA FIRE DEPARTMENT/EMS DIVISION

Laboratory Demographics

  • CLIA Code: 52D1001151
  • Facility Name: ELKHORN AREA FIRE DEPARTMENT/EMS DIVISION
  • Facility Address: 13 SOUTH BROAD ST PO BOX 445
    ELKHORN, WI
    ZIP 53121
  • Facility Phone: 262 723-5080
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT W. THUMME
  • NPI Number: 1003089020
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D1001151
LAB Type Ambulance
Facility Name ELKHORN AREA FIRE DEPARTMENT/EMS DIVISION
Street 13 SOUTH BROAD ST PO BOX 445
City ELKHORN
State WI
ZIP 53121
Phone 262 723-5080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Ambulance
Lab Director DR. ROBERT W. THUMME

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