11D2240773 CLIA NUMBER - LIFE STAT EMS, LLC

Laboratory Demographics

CLIA Number: 11D2240773

Facility Name: LIFE STAT EMS, LLC

Facility Address:
3551 BALL GROUND HIGHWAY
CANTON, GA
ZIP 30114
Get Directions

Facility Phone Number: 404 987-6278

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1942962048

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	11D2240773
LAB Type	Ambulance
Facility Name	LIFE STAT EMS, LLC
Street	3551 BALL GROUND HIGHWAY
City	CANTON
State	GA
ZIP	30114
Phone	404 987-6278
CertificateType	4
CertificateEffectiveDate	10/22/2023
CertificateExpirationDate	10/21/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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