11D2185394 CLIA NUMBER - EXCELSIOR AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 11D2185394
  • Facility Name: EXCELSIOR AMBULANCE SERVICE
  • Facility Address: 153 NORTH MCDONALD STREET
    LUDOWICI, GA
    ZIP 31316
  • Facility Phone: (912) 367-9797
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES A. GRAHAM
  • NPI Number: 1275823122
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2185394
LAB Type Ambulance
Facility Name EXCELSIOR AMBULANCE SERVICE
Street 153 NORTH MCDONALD STREET
City LUDOWICI
State GA
ZIP 31316
Phone 9123679797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2026
Certificate Expiration Date 6/2/2028
Facility Type Ambulance
Lab Director JAMES A. GRAHAM

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This page was last updated on: 5/15/2026