52D1100314 CLIA NUMBER - EDGERTON FIRE PROTECTION DISTRICT EMS DIVISION

Laboratory Demographics

  • CLIA Code: 52D1100314
  • Facility Name: EDGERTON FIRE PROTECTION DISTRICT EMS DIVISION
  • Facility Address: 621 NORTH MAIN
    EDGERTON, WI
    ZIP 53534
  • Facility Phone: 608 884-3327
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: WILLIAM P. WEST,MD
  • NPI Number: 1164657714
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D1100314
LAB Type Ambulance
Facility Name EDGERTON FIRE PROTECTION DISTRICT EMS DIVISION
Street 621 NORTH MAIN
City EDGERTON
State WI
ZIP 53534
Phone 608 884-3327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Ambulance
Lab Director WILLIAM P. WEST,MD

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