11D2209949 CLIA NUMBER - BRANTLEY COUNTY EMERGENCY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 11D2209949
  • Facility Name: BRANTLEY COUNTY EMERGENCY MEDICAL SERVICES
  • Facility Address: 1366 BROOME STREET
    NAHUNTA, GA
    ZIP 31553
  • Facility Phone: 912 462-5380
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. LEE
  • NPI Number: 1013041615
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2209949
LAB Type Ambulance
Facility Name BRANTLEY COUNTY EMERGENCY MEDICAL SERVICES
Street 1366 BROOME STREET
City NAHUNTA
State GA
ZIP 31553
Phone 912 462-5380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Ambulance
Lab Director MICHELLE L. LEE

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