11D0716570 CLIA NUMBER - UNION GENERAL AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 11D0716570
  • Facility Name: UNION GENERAL AMBULANCE SERVICE
  • Facility Address: 94 WEAVER ROAD
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: (706) 781-1805
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES ROBERTSON
  • NPI Number: 1649558768
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D0716570
LAB Type Ambulance
Facility Name UNION GENERAL AMBULANCE SERVICE
Street 94 WEAVER ROAD
City BLAIRSVILLE
State GA
ZIP 30512
Phone 7067811805
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 Ambulance
Lab Director JAMES ROBERTSON

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This page was last updated on: 6/29/2026