52D2058300 CLIA NUMBER - CUMBERLAND HEALTHCARE

Laboratory Demographics

  • CLIA Code: 52D2058300
  • Facility Name: CUMBERLAND HEALTHCARE
  • Facility Address: 11107 SEVENTH AVE
    CUMBERLAND, WI
    ZIP 54829
  • Facility Phone: 651 277-4911
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. BENJAMIN B. WASMUND
  • NPI Number: 1952737264
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2058300
LAB Type Ambulance
Facility Name CUMBERLAND HEALTHCARE
Street 11107 SEVENTH AVE
City CUMBERLAND
State WI
ZIP 54829
Phone 651 277-4911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulance
Lab Director MR. BENJAMIN B. WASMUND

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This page was last updated on: 6/4/2025