11D2234065 CLIA NUMBER - BACON COUNTY EMS

Laboratory Demographics

  • CLIA Code: 11D2234065
  • Facility Name: BACON COUNTY EMS
  • Facility Address: 307 SOUTH DIXON STREET
    ALMA, GA
    ZIP 31510
  • Facility Phone: 912 632-8311
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRENT M. WHITE
  • NPI Number: 1548329709
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2234065
LAB Type Ambulance
Facility Name BACON COUNTY EMS
Street 307 SOUTH DIXON STREET
City ALMA
State GA
ZIP 31510
Phone 912 632-8311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Ambulance
Lab Director BRENT M. WHITE

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