14D2236351 CLIA NUMBER - PEORIA FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D2236351
  • Facility Name: PEORIA FIRE DEPARTMENT
  • Facility Address: 505 NE MONROE ST
    PEORIA, IL
    ZIP 61603
  • Facility Phone: 309 494-8700
  • Facility Type: Other - FIRE DEPT (EMS)
  • Facility Type: Waiver
  • Lab Director: ROLAND J. TENLEY
  • NPI Number: 1427728682
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2236351
LAB Type Other - FIRE DEPT (EMS)
Facility Name PEORIA FIRE DEPARTMENT
Street 505 NE MONROE ST
City PEORIA
State IL
ZIP 61603
Phone 309 494-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Other - FIRE DEPT (EMS)
Lab Director ROLAND J. TENLEY

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