11D2204592 CLIA NUMBER - COWETA COUNTY FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 11D2204592
  • Facility Name: COWETA COUNTY FIRE RESCUE
  • Facility Address: 483 TURKEY CREEK ROAD
    NEWNAN, GA
    ZIP 30263
  • Facility Phone: 770 254-3900
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DONALD V. BAKER
  • NPI Number: 1225436033
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2204592
LAB Type Ambulance
Facility Name COWETA COUNTY FIRE RESCUE
Street 483 TURKEY CREEK ROAD
City NEWNAN
State GA
ZIP 30263
Phone 770 254-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Ambulance
Lab Director DONALD V. BAKER

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