11D0879473 CLIA NUMBER - MILLER COUNTY EMERGENCY MEDICAL SVCS

Laboratory Demographics

  • CLIA Code: 11D0879473
  • Facility Name: MILLER COUNTY EMERGENCY MEDICAL SVCS
  • Facility Address: 202 GRACE ST
    COLQUITT, GA
    ZIP 39837
  • Facility Phone: 229 758-4113
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRADLEY S. MERRITT
  • NPI Number: 1053475913
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 11D0879473
LAB Type Other
Facility Name MILLER COUNTY EMERGENCY MEDICAL SVCS
Street 202 GRACE ST
City COLQUITT
State GA
ZIP 39837
Phone 229 758-4113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Other
Lab Director BRADLEY S. MERRITT

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