11D2230331 CLIA NUMBER - NEXTGEN EMS

Laboratory Demographics

  • CLIA Code: 11D2230331
  • Facility Name: NEXTGEN EMS
  • Facility Address: 510 PLAZA DRIVE, SUITE 1890
    COLLEGE PARK, GA
    ZIP 30349
  • Facility Phone: 678 705-2394
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. DONNELL
  • NPI Number: 1528675956
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2230331
LAB Type Ambulance
Facility Name NEXTGEN EMS
Street 510 PLAZA DRIVE, SUITE 1890
City COLLEGE PARK
State GA
ZIP 30349
Phone 678 705-2394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2023
Certificate Expiration Date 7/21/2025
Facility Type Ambulance
Lab Director MICHAEL T. DONNELL

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This page was last updated on: 3/20/2025