11D2261404 CLIA NUMBER - UNITED CARE EMS LLC

Laboratory Demographics

  • CLIA Code: 11D2261404
  • Facility Name: UNITED CARE EMS LLC
  • Facility Address: 409 ARROWHEAD BOULEVARD
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 678 404-8475
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GARRYONN GRAHAM
  • NPI Number: 1205713070
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2261404
LAB Type Ambulance
Facility Name UNITED CARE EMS LLC
Street 409 ARROWHEAD BOULEVARD
City JONESBORO
State GA
ZIP 30236
Phone 678 404-8475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Ambulance
Lab Director GARRYONN GRAHAM

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