11D2197986 CLIA NUMBER - SCHLEY COUNTY EMERGENCY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 11D2197986
  • Facility Name: SCHLEY COUNTY EMERGENCY MEDICAL SERVICES
  • Facility Address: 67 WEST COLLEGE STREET
    ELLAVILLE, GA
    ZIP 31806
  • Facility Phone: 229 942-3375
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DUANE L. MONTGOMERY
  • NPI Number: 1205932381
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2197986
LAB Type Ambulance
Facility Name SCHLEY COUNTY EMERGENCY MEDICAL SERVICES
Street 67 WEST COLLEGE STREET
City ELLAVILLE
State GA
ZIP 31806
Phone 229 942-3375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Ambulance
Lab Director DUANE L. MONTGOMERY

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