11D2247576 CLIA NUMBER - PROCARE EMERGENCY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 11D2247576
  • Facility Name: PROCARE EMERGENCY MEDICAL SERVICES
  • Facility Address: 5155 SURGARLOAF PARKWAY, SUITE G-K
    LAWRENCEVILLE, GA
    ZIP 30043
  • Facility Phone: 678 240-2860
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PETER E. QUINONES
  • NPI Number: 1760481618
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2247576
LAB Type Ambulance
Facility Name PROCARE EMERGENCY MEDICAL SERVICES
Street 5155 SURGARLOAF PARKWAY, SUITE G-K
City LAWRENCEVILLE
State GA
ZIP 30043
Phone 678 240-2860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Ambulance
Lab Director PETER E. QUINONES

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