14D2239372 CLIA NUMBER - BOURBONNAIS FIRE PROTECTION DISTRICT

Laboratory Demographics

CLIA Number: 14D2239372

Facility Name: BOURBONNAIS FIRE PROTECTION DISTRICT

Facility Address:
1080 ARMOUR RD
BOURBONNAIS, IL
ZIP 60914
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Facility Phone Number: 815 935-9670

Facility Type: Other - FIRE STATION

Certificate Type: Waiver

NPI Number: 1013955426

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	14D2239372
LAB Type	Other - FIRE STATION
Facility Name	BOURBONNAIS FIRE PROTECTION DISTRICT
Street	1080 ARMOUR RD
City	BOURBONNAIS
State	IL
ZIP	60914
Phone	815 935-9670
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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