11D2196392 CLIA NUMBER - ALPHARETTA FIRE & EMERGENCY SERVICES

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Laboratory Demographics

CLIA Number: 11D2196392

Facility Name: ALPHARETTA FIRE & EMERGENCY SERVICES

Facility Address:
2565 OLD MILTON PARKWAY
ALPHARETTA, GA
ZIP 30009
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Facility Phone Number: 404 379-6240

Facility Type: Other - FIRE DEPARTMENT

Certificate Type: Waiver

NPI Number: 1497224380

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2196392
LAB Type	Other - FIRE DEPARTMENT
Facility Name	ALPHARETTA FIRE & EMERGENCY SERVICES
Street	2565 OLD MILTON PARKWAY
City	ALPHARETTA
State	GA
ZIP	30009
Phone	404 379-6240
CertificateType	4
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024