11D2200902 CLIA NUMBER - HENRY COUNTY FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 11D2200902
  • Facility Name: HENRY COUNTY FIRE RESCUE
  • Facility Address: 110 SOUTH ZACK HINTON PARKWAY
    MCDONOUGH, GA
    ZIP 30253
  • Facility Phone: 770 288-6616
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER C. JOHNSON
  • NPI Number: 1952629362
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D2200902
LAB Type Ambulance
Facility Name HENRY COUNTY FIRE RESCUE
Street 110 SOUTH ZACK HINTON PARKWAY
City MCDONOUGH
State GA
ZIP 30253
Phone 770 288-6616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Ambulance
Lab Director CHRISTOPHER C. JOHNSON

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