52D2099265 CLIA NUMBER - PEPIN EMERGENCY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 52D2099265
  • Facility Name: PEPIN EMERGENCY AMBULANCE SERVICE
  • Facility Address: 508 2ND ST
    PEPIN, WI
    ZIP 54759
  • Facility Phone: 715 442-2461
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. BEN C. ELFRINK
  • NPI Number: 1326093808
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D2099265
LAB Type Ambulance
Facility Name PEPIN EMERGENCY AMBULANCE SERVICE
Street 508 2ND ST
City PEPIN
State WI
ZIP 54759
Phone 715 442-2461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Ambulance
Lab Director MR. BEN C. ELFRINK

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