11D0861750 CLIA NUMBER - JEFF DAVIS COUNTY EMS

Laboratory Demographics

  • CLIA Code: 11D0861750
  • Facility Name: JEFF DAVIS COUNTY EMS
  • Facility Address: 32 JEFF DAVIS STREET
    HAZLEHURST, GA
    ZIP 31539
  • Facility Phone: 912 699-9012
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: EDWIN P. WILLIAMS
  • NPI Number: 1790841377
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D0861750
LAB Type Ambulance
Facility Name JEFF DAVIS COUNTY EMS
Street 32 JEFF DAVIS STREET
City HAZLEHURST
State GA
ZIP 31539
Phone 912 699-9012
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 EDWIN P. WILLIAMS

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