11D2217786 CLIA NUMBER - GENESIS 7 TRANSPORT

Laboratory Demographics

CLIA Number: 11D2217786

Facility Name: GENESIS 7 TRANSPORT

Facility Address:
2035 WESTSIDE COURT
SNELLVILLE, GA
ZIP 30078
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Facility Phone Number: 678 948-5612

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1386936771

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	11D2217786
LAB Type	Ambulance
Facility Name	GENESIS 7 TRANSPORT
Street	2035 WESTSIDE COURT
City	SNELLVILLE
State	GA
ZIP	30078
Phone	678 948-5612
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024