11D2234807 CLIA NUMBER - JOHNS CREEK FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 11D2234807
  • Facility Name: JOHNS CREEK FIRE DEPARTMENT
  • Facility Address: 11360 LAKEFIELD DRIVE
    JOHNS CREEK, GA
    ZIP 30097
  • Facility Phone: 678 474-1640
  • Facility Type: Other - MEDICAL FIRST RESPONDER
  • Facility Type: Waiver
  • Lab Director: BRIAN JOHNSON
  • NPI Number: 1720559362
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2234807
LAB Type Other - MEDICAL FIRST RESPONDER
Facility Name JOHNS CREEK FIRE DEPARTMENT
Street 11360 LAKEFIELD DRIVE
City JOHNS CREEK
State GA
ZIP 30097
Phone 678 474-1640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Other - MEDICAL FIRST RESPONDER
Lab Director BRIAN JOHNSON

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