52D2156742 CLIA NUMBER - NORTH CENTRAL EMERGENCY MEDICAL SERVICES & RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 52D2156742
  • Facility Name: NORTH CENTRAL EMERGENCY MEDICAL SERVICES & RESCUE SQUAD
  • Facility Address: 3204 WASHINGTON AVE REAR
    RACINE, WI
    ZIP 53405
  • Facility Phone: 262 729-9886
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. CHRISTOPHER A. SIEBENEICH
  • NPI Number: 1497223069
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2156742
LAB Type Ambulance
Facility Name NORTH CENTRAL EMERGENCY MEDICAL SERVICES & RESCUE SQUAD
Street 3204 WASHINGTON AVE REAR
City RACINE
State WI
ZIP 53405
Phone 262 729-9886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Ambulance
Lab Director MR. CHRISTOPHER A. SIEBENEICH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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