11D2020271 CLIA NUMBER - AIRLIFE FOUR

Laboratory Demographics

  • CLIA Code: 11D2020271
  • Facility Name: AIRLIFE FOUR
  • Facility Address: 180 WEST AVIATION WAY
    NEWNAN, GA
    ZIP 30263
  • Facility Phone: 770 254-0005
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GENE L. JONES
  • NPI Number: 1245513092
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2020271
LAB Type Ambulance
Facility Name AIRLIFE FOUR
Street 180 WEST AVIATION WAY
City NEWNAN
State GA
ZIP 30263
Phone 770 254-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Ambulance
Lab Director GENE L. JONES

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