14D0862756 CLIA NUMBER - GRIDLEY EMERGENCY MEDICAL SERVICE

Laboratory Demographics

  • CLIA Code: 14D0862756
  • Facility Name: GRIDLEY EMERGENCY MEDICAL SERVICE
  • Facility Address: 105 E 3RD ST
    GRIDLEY, IL
    ZIP 61744
  • Facility Phone: 309 747-2600
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KATHY S. TAYLOR
  • NPI Number: 1073569786
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D0862756
LAB Type Other
Facility Name GRIDLEY EMERGENCY MEDICAL SERVICE
Street 105 E 3RD ST
City GRIDLEY
State IL
ZIP 61744
Phone 309 747-2600
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 Other
Lab Director KATHY S. TAYLOR

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