11D2231910 CLIA NUMBER - THRIVE EMS, LLC

Laboratory Demographics

  • CLIA Code: 11D2231910
  • Facility Name: THRIVE EMS, LLC
  • Facility Address: 209 MAIN STREET, EAST, SUITE B
    VILLA RICA, GA
    ZIP 30180
  • Facility Phone: (770) 722-6689
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID MATHENEY
  • NPI Number: 1841020633
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2231910
LAB Type Ambulance
Facility Name THRIVE EMS, LLC
Street 209 MAIN STREET, EAST, SUITE B
City VILLA RICA
State GA
ZIP 30180
Phone 7707226689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Ambulance
Lab Director DAVID MATHENEY

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This page was last updated on: 5/18/2026