11D2198211 CLIA NUMBER - TALBOT COUNTY EMS

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Laboratory Demographics

CLIA Number: 11D2198211

Facility Name: TALBOT COUNTY EMS

Facility Address:
1853 GENEVA HIGHWAY
TALBOTTON, GA
ZIP 31827
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Facility Phone Number: 706 665-3456

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1578652590

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	11D2198211
LAB Type	Ambulance
Facility Name	TALBOT COUNTY EMS
Street	1853 GENEVA HIGHWAY
City	TALBOTTON
State	GA
ZIP	31827
Phone	706 665-3456
CertificateType	4
CertificateEffectiveDate	10/30/2022
CertificateExpirationDate	10/29/2024
FacilityType	Waiver

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