11D2200640 CLIA NUMBER - WAYNE COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 11D2200640
  • Facility Name: WAYNE COUNTY AMBULANCE SERVICE
  • Facility Address: 201 HINSON MOSLEY ROAD
    JESUP, GA
    ZIP 31545
  • Facility Phone: 912 427-5999
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PATRICK PARSON
  • NPI Number: 1790846665
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2200640
LAB Type Ambulance
Facility Name WAYNE COUNTY AMBULANCE SERVICE
Street 201 HINSON MOSLEY ROAD
City JESUP
State GA
ZIP 31545
Phone 912 427-5999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Ambulance
Lab Director PATRICK PARSON

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