11D2238977 CLIA NUMBER - GAINESVILLE FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 11D2238977
  • Facility Name: GAINESVILLE FIRE DEPARTMENT
  • Facility Address: 725 PINE STREET
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 534-3612
  • Facility Type: Other - MEDICAL FIRST RESPONDER
  • Facility Type: Waiver
  • Lab Director: BRANDON M. ELLIS
  • NPI Number: 1871929307
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 11D2238977
LAB Type Other - MEDICAL FIRST RESPONDER
Facility Name GAINESVILLE FIRE DEPARTMENT
Street 725 PINE STREET
City GAINESVILLE
State GA
ZIP 30501
Phone 770 534-3612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Other - MEDICAL FIRST RESPONDER
Lab Director BRANDON M. ELLIS

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