11D2196542 CLIA NUMBER - HEARTLAND EMS, INC

Laboratory Demographics

  • CLIA Code: 11D2196542
  • Facility Name: HEARTLAND EMS, INC
  • Facility Address: 256 LUCAS ROAD
    COCHRAN, GA
    ZIP 31014
  • Facility Phone: 478 934-1133
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEWART GRIZZARD
  • NPI Number: 1437469558
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2196542
LAB Type Ambulance
Facility Name HEARTLAND EMS, INC
Street 256 LUCAS ROAD
City COCHRAN
State GA
ZIP 31014
Phone 478 934-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Ambulance
Lab Director STEWART GRIZZARD

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