11D2263004 CLIA NUMBER - UNITY AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 11D2263004

Facility Name: UNITY AMBULANCE SERVICE

Facility Address:
4791 NORTH HENRY BLVD #B
STOCKBRIDGE, GA
ZIP 30281
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Facility Phone Number: 770 715-5910

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1750854279

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	11D2263004
LAB Type	Ambulance
Facility Name	UNITY AMBULANCE SERVICE
Street	4791 NORTH HENRY BLVD #B
City	STOCKBRIDGE
State	GA
ZIP	30281
Phone	770 715-5910
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024