11D2262738 CLIA NUMBER - MED SOUTH EMS, INC

Laboratory Demographics

  • CLIA Code: 11D2262738
  • Facility Name: MED SOUTH EMS, INC
  • Facility Address: 116 WEST 2ND AVENUE
    COLBERT, GA
    ZIP 30628
  • Facility Phone: 404 768-4800
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LAURIE SHIRLEY
  • NPI Number: 1427336551
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2262738
LAB Type Ambulance
Facility Name MED SOUTH EMS, INC
Street 116 WEST 2ND AVENUE
City COLBERT
State GA
ZIP 30628
Phone 404 768-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Ambulance
Lab Director LAURIE SHIRLEY

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