11D2260720 CLIA NUMBER - GROVETOWN FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 11D2260720
  • Facility Name: GROVETOWN FIRE RESCUE
  • Facility Address: 306 EAST ROBINSON AVENUE
    GROVETOWN, GA
    ZIP 30813
  • Facility Phone: 706 863-2354
  • Facility Type: Other - FIRE RESCUE
  • Facility Type: Waiver
  • Lab Director: WAYNE KENT
  • NPI Number: 1396023933
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2260720
LAB Type Other - FIRE RESCUE
Facility Name GROVETOWN FIRE RESCUE
Street 306 EAST ROBINSON AVENUE
City GROVETOWN
State GA
ZIP 30813
Phone 706 863-2354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Other - FIRE RESCUE
Lab Director WAYNE KENT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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