52D1011437 CLIA NUMBER - WESTERN BUFFALO COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 52D1011437
  • Facility Name: WESTERN BUFFALO COUNTY AMBULANCE SERVICE
  • Facility Address: 310 MAIN ST PO BOX 371
    ALMA, WI
    ZIP 54610
  • Facility Phone: 608 685-3887
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. JUSTIN SASS
  • NPI Number: 1255385811
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D1011437
LAB Type Ambulance
Facility Name WESTERN BUFFALO COUNTY AMBULANCE SERVICE
Street 310 MAIN ST PO BOX 371
City ALMA
State WI
ZIP 54610
Phone 608 685-3887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Ambulance
Lab Director MR. JUSTIN SASS

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