11D2096726 CLIA NUMBER - GOLD CROSS EMS, INC

Laboratory Demographics

  • CLIA Code: 11D2096726
  • Facility Name: GOLD CROSS EMS, INC
  • Facility Address: 4328 WHEELER ROAD
    MARTINEZ, GA
    ZIP 30907
  • Facility Phone: 706 434-4000
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JIMMIE PEEBLES
  • NPI Number: 1164445391
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2096726
LAB Type Ambulance
Facility Name GOLD CROSS EMS, INC
Street 4328 WHEELER ROAD
City MARTINEZ
State GA
ZIP 30907
Phone 706 434-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Ambulance
Lab Director JIMMIE PEEBLES

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