14D2057911 CLIA NUMBER - ARCH AIR MEDICAL - EFFINGHAM BASE

Laboratory Demographics

  • CLIA Code: 14D2057911
  • Facility Name: ARCH AIR MEDICAL - EFFINGHAM BASE
  • Facility Address: 306 W PROFESSIONAL PARK DR
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 314 655-4104
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: AMY J. NIEWINSKI
  • NPI Number: 1891928685
  • Taxonomy: 3416A0800X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2057911
LAB Type Ambulance
Facility Name ARCH AIR MEDICAL - EFFINGHAM BASE
Street 306 W PROFESSIONAL PARK DR
City EFFINGHAM
State IL
ZIP 62401
Phone 314 655-4104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Ambulance
Lab Director AMY J. NIEWINSKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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