11D2210717 CLIA NUMBER - TRANSCARE MEDICAL

Laboratory Demographics

  • CLIA Code: 11D2210717
  • Facility Name: TRANSCARE MEDICAL
  • Facility Address: 20 SATELLITE DRIVE
    WINDER, GA
    ZIP 30680
  • Facility Phone: 770 870-7083
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEREK PENDARVIS
  • NPI Number: 1023269321
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2210717
LAB Type Ambulance
Facility Name TRANSCARE MEDICAL
Street 20 SATELLITE DRIVE
City WINDER
State GA
ZIP 30680
Phone 770 870-7083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Ambulance
Lab Director DEREK PENDARVIS

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