11D2254910 CLIA NUMBER - GRECO TRANSPORT, LLC

Laboratory Demographics

  • CLIA Code: 11D2254910
  • Facility Name: GRECO TRANSPORT, LLC
  • Facility Address: 300 ROSE STREET, SUITE B
    MARTINEZ, GA
    ZIP 30907
  • Facility Phone: 706 364-4365
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KAREN C. EDMONDSON
  • NPI Number: 1619562303
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2254910
LAB Type Ambulance
Facility Name GRECO TRANSPORT, LLC
Street 300 ROSE STREET, SUITE B
City MARTINEZ
State GA
ZIP 30907
Phone 706 364-4365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Ambulance
Lab Director KAREN C. EDMONDSON

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