11D2252207 CLIA NUMBER - TYBEE ISLAND FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 11D2252207
  • Facility Name: TYBEE ISLAND FIRE RESCUE
  • Facility Address: 512 JONES AVENUE
    TYBEE ISLAND, GA
    ZIP 31328
  • Facility Phone: 912 472-5061
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEREMY KENDRICK
  • NPI Number: 1801654280
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2252207
LAB Type Ambulance
Facility Name TYBEE ISLAND FIRE RESCUE
Street 512 JONES AVENUE
City TYBEE ISLAND
State GA
ZIP 31328
Phone 912 472-5061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Ambulance
Lab Director JEREMY KENDRICK

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