14D2222320 CLIA NUMBER - AMBOY FIRE PROTECTION DISTRICT

Laboratory Demographics

  • CLIA Code: 14D2222320
  • Facility Name: AMBOY FIRE PROTECTION DISTRICT
  • Facility Address: 25 N EAST AVE
    AMBOY, IL
    ZIP 61310
  • Facility Phone: 815 857-2325
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFFREY A. BRYANT SR
  • NPI Number: 1508992439
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D2222320
LAB Type Ambulance
Facility Name AMBOY FIRE PROTECTION DISTRICT
Street 25 N EAST AVE
City AMBOY
State IL
ZIP 61310
Phone 815 857-2325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Ambulance
Lab Director JEFFREY A. BRYANT SR

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