14D2204898 CLIA NUMBER - ORLAND FIRE PROTECTION DISTRICT

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Laboratory Demographics

CLIA Number: 14D2204898

Facility Name: ORLAND FIRE PROTECTION DISTRICT

Facility Address:
9790 W 151ST ST
ORLAND PARK, IL
ZIP 60462
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Facility Phone Number: 708 349-0074

Facility Type: Other - FIRE BASED EMS PROVIDER

Certificate Type: Waiver

NPI Number: 1932148350

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	14D2204898
LAB Type	Other - FIRE BASED EMS PROVIDER
Facility Name	ORLAND FIRE PROTECTION DISTRICT
Street	9790 W 151ST ST
City	ORLAND PARK
State	IL
ZIP	60462
Phone	708 349-0074
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024