11D2237152 CLIA NUMBER - WARE COUNTY EMS

Laboratory Demographics

CLIA Number: 11D2237152

Facility Name: WARE COUNTY EMS

Facility Address:
3395 HARRIS ROAD, SUITE 100
WAYCROSS, GA
ZIP 31503
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Facility Phone Number: 912 287-4455

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1831231042

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	11D2237152
LAB Type	Ambulance
Facility Name	WARE COUNTY EMS
Street	3395 HARRIS ROAD, SUITE 100
City	WAYCROSS
State	GA
ZIP	31503
Phone	912 287-4455
CertificateType	4
CertificateEffectiveDate	9/23/2023
CertificateExpirationDate	9/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024