11D2147179 CLIA NUMBER - AMBUCARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2147179
  • Facility Name: AMBUCARE, LLC
  • Facility Address: 1196 HIGHTOWER ROAD
    BREMEN, GA
    ZIP 30110
  • Facility Phone: 770 537-1946
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MITCH D. GOLDEN
  • NPI Number: 1821141821
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2147179
LAB Type Ambulance
Facility Name AMBUCARE, LLC
Street 1196 HIGHTOWER ROAD
City BREMEN
State GA
ZIP 30110
Phone 770 537-1946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Ambulance
Lab Director MITCH D. GOLDEN

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