14D0987782 CLIA NUMBER - FULTON FIRE PROTECTION DISTRICT

Laboratory Demographics

  • CLIA Code: 14D0987782
  • Facility Name: FULTON FIRE PROTECTION DISTRICT
  • Facility Address: 1802 16TH AVENUE
    FULTON, IL
    ZIP 61252
  • Facility Phone: 815 589-3030
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DIANE CHRISTENSEN
  • NPI Number: 1932231479
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D0987782
LAB Type Ambulance
Facility Name FULTON FIRE PROTECTION DISTRICT
Street 1802 16TH AVENUE
City FULTON
State IL
ZIP 61252
Phone 815 589-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Ambulance
Lab Director DIANE CHRISTENSEN

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