11D2232706 CLIA NUMBER - TATTNALL COUNTY EMERGENCY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 11D2232706
  • Facility Name: TATTNALL COUNTY EMERGENCY MEDICAL SERVICES
  • Facility Address: 194 JOHN O PARKER ROAD
    REIDSVILLE, GA
    ZIP 30453
  • Facility Phone: 912 557-3640
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BLAKE M. MONROE
  • NPI Number: 1417278029
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2232706
LAB Type Ambulance
Facility Name TATTNALL COUNTY EMERGENCY MEDICAL SERVICES
Street 194 JOHN O PARKER ROAD
City REIDSVILLE
State GA
ZIP 30453
Phone 912 557-3640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Ambulance
Lab Director BLAKE M. MONROE

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