Visualizing the electrochemical and temperature distribution characteristics inside proton exchange membrane fuel cell (PEMFC) should greatly contribute to the product development and performance optimization. In the study, a customized 27-segment 108 cm2 fuel cell was fabricated based on the printed circuit board methodology to achieve the local current density and local voltage measurement. In addition, 27 thermocouples were embedded in the segmented cathode graphite gas flow plate for local temperature measurement. Detailed information of fuel cell core components, multi-channel data acquisition system, external temperature control system, and uncertainty analysis was presented. According to the test results of 4000 s current rising conditions and 2400 s current decreasing conditions, the measurement deviation of total current between data acquisition system and TOYO test station is 2.4%–3.2%. Meanwhile, the deviation of output voltage ranges from 0.1% to 2.6%. To quantify the degree of distribution non-uniformity, the range and standard deviation of local parameter values as well as contour map are demonstrated. The non-uniformity of local current density and local temperature becomes more significant under higher operating current conditions. Furthermore, the degree of parameter non-uniformity is more noticeable under current rising conditions compared with current decreasing conditions. The transient increase of operating current leads to the sudden overshoot phenomena of local current range, and the change of local current density among all segments is instantaneously finished. However, the range of current demonstrates relatively smooth transition trends when reactant flow rate rises. Higher temperature area appears in the middle of membrane electrode assembly, especially in the position with higher local current density. The parameter distribution and transition characteristics could provide helpful guidance for fuel cell optimization and diagnosis.