52D2129425 CLIA NUMBER - EMERGENCY RESCUE SQUAD, INC

Laboratory Demographics

  • CLIA Code: 52D2129425
  • Facility Name: EMERGENCY RESCUE SQUAD, INC
  • Facility Address: 2710 WOLESKE RD PO BOX 547
    MARINETTE, WI
    ZIP 54143
  • Facility Phone: 715 735-3261
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. GREGORY R. LOLL
  • NPI Number: 1124695069
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D2129425
LAB Type Ambulance
Facility Name EMERGENCY RESCUE SQUAD, INC
Street 2710 WOLESKE RD PO BOX 547
City MARINETTE
State WI
ZIP 54143
Phone 715 735-3261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Ambulance
Lab Director MR. GREGORY R. LOLL

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