52D2008278 CLIA NUMBER - RUSK COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 52D2008278
  • Facility Name: RUSK COUNTY AMBULANCE SERVICE
  • Facility Address: 311 MINOR AVE EAST
    LADYSMITH, WI
    ZIP 54848
  • Facility Phone: 715 532-2121
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. THOMAS C. HALL
  • NPI Number: 1053586412
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 52D2008278
LAB Type Ambulance
Facility Name RUSK COUNTY AMBULANCE SERVICE
Street 311 MINOR AVE EAST
City LADYSMITH
State WI
ZIP 54848
Phone 715 532-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Ambulance
Lab Director MR. THOMAS C. HALL

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