11D2263292 CLIA NUMBER - FALCONS EMERGENCY MEDICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 11D2263292
  • Facility Name: FALCONS EMERGENCY MEDICAL SERVICES LLC
  • Facility Address: 29 MILLARD FARMER IND BLVD SUITE D
    NEWNAN, GA
    ZIP 30263
  • Facility Phone: 678 552-9849
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ALI TAHTA
  • NPI Number: 1770049975
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2263292
LAB Type Ambulance
Facility Name FALCONS EMERGENCY MEDICAL SERVICES LLC
Street 29 MILLARD FARMER IND BLVD SUITE D
City NEWNAN
State GA
ZIP 30263
Phone 678 552-9849
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Ambulance
Lab Director ALI TAHTA

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