11D2238635 CLIA NUMBER - 5 STAR EMS TRANSPORT, LLC

Laboratory Demographics

  • CLIA Code: 11D2238635
  • Facility Name: 5 STAR EMS TRANSPORT, LLC
  • Facility Address: 1560 COMERCIAL CT, STE C
    JONESBORO, GA
    ZIP 30238
  • Facility Phone: 678 523-5614
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CAMERON C. MITCHELL
  • NPI Number: 1326718453
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2238635
LAB Type Ambulance
Facility Name 5 STAR EMS TRANSPORT, LLC
Street 1560 COMERCIAL CT, STE C
City JONESBORO
State GA
ZIP 30238
Phone 678 523-5614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Ambulance
Lab Director CAMERON C. MITCHELL

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