11D0687256 CLIA NUMBER - CRISP COUNTY EMERGENCY MEDICAL SERVICE

Laboratory Demographics

  • CLIA Code: 11D0687256
  • Facility Name: CRISP COUNTY EMERGENCY MEDICAL SERVICE
  • Facility Address: 902 FIFTH ST NORTH
    CORDELE, GA
    ZIP 31015
  • Facility Phone: 912 276-2687
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: HARRY LATHAM
  • NPI Number: 1851460729
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0687256
LAB Type Mobile Laboratory
Facility Name CRISP COUNTY EMERGENCY MEDICAL SERVICE
Street 902 FIFTH ST NORTH
City CORDELE
State GA
ZIP 31015
Phone 912 276-2687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Mobile Laboratory
Lab Director HARRY LATHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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