11D2233673 CLIA NUMBER - GOLDEN ISLES EMS, LLC

Laboratory Demographics

  • CLIA Code: 11D2233673
  • Facility Name: GOLDEN ISLES EMS, LLC
  • Facility Address: 11097 MAIN STREET NORTH
    NAHUNTA, GA
    ZIP 31553
  • Facility Phone: 912 462-8002
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHARLES WILSON
  • NPI Number: 1841550571
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2233673
LAB Type Ambulance
Facility Name GOLDEN ISLES EMS, LLC
Street 11097 MAIN STREET NORTH
City NAHUNTA
State GA
ZIP 31553
Phone 912 462-8002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Ambulance
Lab Director CHARLES WILSON

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