11D2198814 CLIA NUMBER - JOHNSON COUNTY EMS

Laboratory Demographics

  • CLIA Code: 11D2198814
  • Facility Name: JOHNSON COUNTY EMS
  • Facility Address: 2573 IDYLWILD DRIVE
    WRIGHTSVILLE, GA
    ZIP 31096
  • Facility Phone: 478 864-0025
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFF L. SOLES
  • NPI Number: 1225088529
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2198814
LAB Type Ambulance
Facility Name JOHNSON COUNTY EMS
Street 2573 IDYLWILD DRIVE
City WRIGHTSVILLE
State GA
ZIP 31096
Phone 478 864-0025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Ambulance
Lab Director JEFF L. SOLES

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This page was last updated on: 6/4/2025