11D2250355 CLIA NUMBER - SPARTAN EMS, LLC

Laboratory Demographics

  • CLIA Code: 11D2250355
  • Facility Name: SPARTAN EMS, LLC
  • Facility Address: 2100 THOMPSON BRIDGE ROAD, SUITE B
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 530-4355
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARK HULSEY
  • NPI Number: 1760146252
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2250355
LAB Type Ambulance
Facility Name SPARTAN EMS, LLC
Street 2100 THOMPSON BRIDGE ROAD, SUITE B
City GAINESVILLE
State GA
ZIP 30501
Phone 770 530-4355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Ambulance
Lab Director MARK HULSEY

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