14D2207259 CLIA NUMBER - MORTON GROVE FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D2207259
  • Facility Name: MORTON GROVE FIRE DEPARTMENT
  • Facility Address: 6250 LINCOLN AVE
    MORTON GROVE, IL
    ZIP 60053
  • Facility Phone: 847 470-5226
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ERIK P. MILLER
  • NPI Number: 1265978423
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2207259
LAB Type Ambulance
Facility Name MORTON GROVE FIRE DEPARTMENT
Street 6250 LINCOLN AVE
City MORTON GROVE
State IL
ZIP 60053
Phone 847 470-5226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Ambulance
Lab Director ERIK P. MILLER

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This page was last updated on: 3/20/2025