14D0688884 CLIA NUMBER - ARROW AMBULANCE LLC

Laboratory Demographics

  • CLIA Code: 14D0688884
  • Facility Name: ARROW AMBULANCE LLC
  • Facility Address: 210 E UNIVERSITY AVE
    CHAMPAIGN, IL
    ZIP 61820
  • Facility Phone: 217 383-3765
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: FARAH GAUDIER
  • NPI Number: 1215211545
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D0688884
LAB Type Ambulance
Facility Name ARROW AMBULANCE LLC
Street 210 E UNIVERSITY AVE
City CHAMPAIGN
State IL
ZIP 61820
Phone 217 383-3765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulance
Lab Director FARAH GAUDIER

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