52D2090128 CLIA NUMBER - WEST SALEM FIRST RESPONDERS

Laboratory Demographics

  • CLIA Code: 52D2090128
  • Facility Name: WEST SALEM FIRST RESPONDERS
  • Facility Address: 567 BRICKL RD
    WEST SALEM, WI
    ZIP 54669
  • Facility Phone: 608 786-2501
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. DUANE KNEIFL
  • NPI Number: 1285813139
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D2090128
LAB Type Ambulance
Facility Name WEST SALEM FIRST RESPONDERS
Street 567 BRICKL RD
City WEST SALEM
State WI
ZIP 54669
Phone 608 786-2501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Ambulance
Lab Director MR. DUANE KNEIFL

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This page was last updated on: 3/20/2025