CLIA lab

CLIA 52D0921803: Port Washington Fire Dept Ambulance

Port Washington, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D0921803 belongs to Port Washington Fire Dept Ambulance in Port Washington, WI.

Certificate of Waiver, effective November 6, 2024, expires November 5, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 6, 2024
Certificate expiration
November 5, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 6, 1996
Facility type
Ambulance
Ownership (control type)
Government, city
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D0921803
Lab name
Port Washington Fire Dept Ambulance
Address
104 West Washington St, Port Washington, WI 53074
Phone
(262) 284-2891

Annual test volume the lab reported

Waived tests
600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Port Washington, WI

Related

Questions

What is the CLIA number for Port Washington Fire Dept Ambulance in Port Washington?

52D0921803, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Port Washington Fire Dept Ambulance hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0921803 expire?

The CMS file lists November 5, 2026 as the certificate expiration date; the certificate took effect November 6, 2024.

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