11D2198985 CLIA NUMBER - PAULDING COUNTY FIRE/RESCUE

Laboratory Demographics

  • CLIA Code: 11D2198985
  • Facility Name: PAULDING COUNTY FIRE/RESCUE
  • Facility Address: 247 INDUSTRIAL WAY N
    DALLAS, GA
    ZIP 30132
  • Facility Phone: 770 220-1160
  • Facility Type: Other - MEDICAL FIRST RESPONDER
  • Facility Type: Waiver
  • Lab Director: LISA LEWIS
  • NPI Number: 1023170495
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 11D2198985
LAB Type Other - MEDICAL FIRST RESPONDER
Facility Name PAULDING COUNTY FIRE/RESCUE
Street 247 INDUSTRIAL WAY N
City DALLAS
State GA
ZIP 30132
Phone 770 220-1160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Other - MEDICAL FIRST RESPONDER
Lab Director LISA LEWIS

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