11D2197598 CLIA NUMBER - VITAL LINK TRANSPORT LLC

Laboratory Demographics

  • CLIA Code: 11D2197598
  • Facility Name: VITAL LINK TRANSPORT LLC
  • Facility Address: 4914 COURTNEY DRIVE
    FOREST PARK, GA
    ZIP 30297
  • Facility Phone: 404 500-1039
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: EFFREN Z. BIGHAM
  • NPI Number: 1487011185
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2197598
LAB Type Ambulance
Facility Name VITAL LINK TRANSPORT LLC
Street 4914 COURTNEY DRIVE
City FOREST PARK
State GA
ZIP 30297
Phone 404 500-1039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Ambulance
Lab Director EFFREN Z. BIGHAM

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