14D2180380 CLIA NUMBER - LIFENET

Laboratory Demographics

  • CLIA Code: 14D2180380
  • Facility Name: LIFENET
  • Facility Address: 4309 CENTEGRA DR
    MCHENRY, IL
    ZIP 60050
  • Facility Phone: 859 230-2594
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOSEPH B. HILL
  • NPI Number: 1215553896
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D2180380
LAB Type Ambulance
Facility Name LIFENET
Street 4309 CENTEGRA DR
City MCHENRY
State IL
ZIP 60050
Phone 859 230-2594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Ambulance
Lab Director JOSEPH B. HILL

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