14D2201517 CLIA NUMBER - HUNTLEY FIRE PROTECTION DISTRICT

Laboratory Demographics

  • CLIA Code: 14D2201517
  • Facility Name: HUNTLEY FIRE PROTECTION DISTRICT
  • Facility Address: 11118 MAIN ST
    HUNTLEY, IL
    ZIP 60142
  • Facility Phone: 847 669-5066
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRIAN P. HARDERS
  • NPI Number: 1316951684
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D2201517
LAB Type Ambulance
Facility Name HUNTLEY FIRE PROTECTION DISTRICT
Street 11118 MAIN ST
City HUNTLEY
State IL
ZIP 60142
Phone 847 669-5066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Ambulance
Lab Director BRIAN P. HARDERS

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