06D2278122 CLIA NUMBER - ICARE AMBULANCE LLC

Laboratory Demographics

  • CLIA Code: 06D2278122
  • Facility Name: ICARE AMBULANCE LLC
  • Facility Address: 7375 S PEORIA STREET, SUITE 215
    ENGLEWOOD, CO
    ZIP 80112
  • Facility Phone: 888 422-7312
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RYAN M. HOLLAND
  • NPI Number: 1174115919
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 06D2278122
LAB Type Ambulance
Facility Name ICARE AMBULANCE LLC
Street 7375 S PEORIA STREET, SUITE 215
City ENGLEWOOD
State CO
ZIP 80112
Phone 888 422-7312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Ambulance
Lab Director RYAN M. HOLLAND

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