52D1010231 CLIA NUMBER - TWIN BRIDGE RESCUE INC

Laboratory Demographics

CLIA Number: 52D1010231

Facility Name: TWIN BRIDGE RESCUE INC

Facility Address:
W11280 COUNTY RD X
CRIVITZ, WI
ZIP 54114
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Facility Phone Number: 715 757-2682

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1487608295

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 52D1010231
LAB Type Ambulance
Facility Name TWIN BRIDGE RESCUE INC
Street W11280 COUNTY RD X
City CRIVITZ
State WI
ZIP 54114
Phone 715 757-2682
CertificateType 4
CertificateEffectiveDate 3/10/2023
CertificateExpirationDate 3/9/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024