52D2221214 CLIA NUMBER - LAFAYETTE COUNTY EMS

Laboratory Demographics

  • CLIA Code: 52D2221214
  • Facility Name: LAFAYETTE COUNTY EMS
  • Facility Address: 129 WEST LOUISA ST
    DARLINGTON, WI
    ZIP 53530
  • Facility Phone: 608 776-4999
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SHAWN M. PHILLIPS
  • NPI Number: 1093232878
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2221214
LAB Type Ambulance
Facility Name LAFAYETTE COUNTY EMS
Street 129 WEST LOUISA ST
City DARLINGTON
State WI
ZIP 53530
Phone 608 776-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Ambulance
Lab Director SHAWN M. PHILLIPS

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