11D2261126 CLIA NUMBER - MCDONOUGH FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 11D2261126
  • Facility Name: MCDONOUGH FIRE DEPARTMENT
  • Facility Address: 88 KEYS FERRY STREET
    MCDONOUGH, GA
    ZIP 30253
  • Facility Phone: 678 782-6252
  • Facility Type: Other - FIRE DEPT
  • Facility Type: Waiver
  • Lab Director: DAVID L. WILLIAMS
  • NPI Number: 1710058953
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2261126
LAB Type Other - FIRE DEPT
Facility Name MCDONOUGH FIRE DEPARTMENT
Street 88 KEYS FERRY STREET
City MCDONOUGH
State GA
ZIP 30253
Phone 678 782-6252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Other - FIRE DEPT
Lab Director DAVID L. WILLIAMS

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