52D1075085 CLIA NUMBER - WISCONSIN RAPIDS FIRE DEPARTMENT AND AREA EMS

Laboratory Demographics

  • CLIA Code: 52D1075085
  • Facility Name: WISCONSIN RAPIDS FIRE DEPARTMENT AND AREA EMS
  • Facility Address: 1511 12TH ST S
    WISCONSIN RAPIDS, WI
    ZIP 54494
  • Facility Phone: 715 421-6278
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOEL FETTERER
  • NPI Number: 1811173677
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D1075085
LAB Type Ambulance
Facility Name WISCONSIN RAPIDS FIRE DEPARTMENT AND AREA EMS
Street 1511 12TH ST S
City WISCONSIN RAPIDS
State WI
ZIP 54494
Phone 715 421-6278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Ambulance
Lab Director JOEL FETTERER

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