CLIA lab
CLIA 52D0984714: Theresa Ambulance Service
Theresa, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0984714 belongs to Theresa Ambulance Service in Theresa, WI.
Certificate of Waiver, effective March 28, 2025, expires March 27, 2027.
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
- March 28, 2025
- Certificate expiration
- March 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 2001
- Facility type
- Ambulance
- Ownership (control type)
- Other
- 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
- 52D0984714
- Lab name
- Theresa Ambulance Service
- Address
- 303 Depot Rd, Theresa, WI 53091
- Phone
- (920) 488-6301
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Theresa Ambulance Service in Theresa?
52D0984714, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Theresa Ambulance Service hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0984714 expire?
The CMS file lists March 27, 2027 as the certificate expiration date; the certificate took effect March 28, 2025.