11D2202968 CLIA NUMBER - JACKSON COUNTY EMERGENCY SERVICES

Laboratory Demographics

  • CLIA Code: 11D2202968
  • Facility Name: JACKSON COUNTY EMERGENCY SERVICES
  • Facility Address: 86 GORDON STREET
    JEFFERSON, GA
    ZIP 30549
  • Facility Phone: 706 367-6356
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JASON BAKER
  • NPI Number: 1982755138
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2202968
LAB Type Ambulance
Facility Name JACKSON COUNTY EMERGENCY SERVICES
Street 86 GORDON STREET
City JEFFERSON
State GA
ZIP 30549
Phone 706 367-6356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Ambulance
Lab Director JASON BAKER

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