52D2123588 CLIA NUMBER - RIVERSIDE FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 52D2123588
  • Facility Name: RIVERSIDE FIRE DISTRICT
  • Facility Address: 20 ALEXANDER AVE
    ROTHSCHILD, WI
    ZIP 54474
  • Facility Phone: 715 359-3500
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. ROBERT A. BOWEN
  • NPI Number: 1417492711
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D2123588
LAB Type Ambulance
Facility Name RIVERSIDE FIRE DISTRICT
Street 20 ALEXANDER AVE
City ROTHSCHILD
State WI
ZIP 54474
Phone 715 359-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Ambulance
Lab Director MR. ROBERT A. BOWEN

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