11D2260951 CLIA NUMBER - HALIFAX EMS, LLC

Laboratory Demographics

  • CLIA Code: 11D2260951
  • Facility Name: HALIFAX EMS, LLC
  • Facility Address: 220 BEN BURTON CIRCLE, SUITE A
    BOGART, GA
    ZIP 30622
  • Facility Phone: 770 545-7222
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ZACKARY L. CLEMONS
  • NPI Number: 1396336517
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2260951
LAB Type Ambulance
Facility Name HALIFAX EMS, LLC
Street 220 BEN BURTON CIRCLE, SUITE A
City BOGART
State GA
ZIP 30622
Phone 770 545-7222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Ambulance
Lab Director ZACKARY L. CLEMONS

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