52D2200168 CLIA NUMBER - MIDWEST MEDICAL TRANSPORT COMPANY LLC

Laboratory Demographics

  • CLIA Code: 52D2200168
  • Facility Name: MIDWEST MEDICAL TRANSPORT COMPANY LLC
  • Facility Address: W168N5900 RIDGEWOOD DRIVE
    MENOMONEE FALLS, WI
    ZIP 53051
  • Facility Phone: 800 562-3396
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KRISTIN L. VONDRA
  • NPI Number: 1346499977
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D2200168
LAB Type Ambulance
Facility Name MIDWEST MEDICAL TRANSPORT COMPANY LLC
Street W168N5900 RIDGEWOOD DRIVE
City MENOMONEE FALLS
State WI
ZIP 53051
Phone 800 562-3396
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Ambulance
Lab Director KRISTIN L. VONDRA

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