11D2263292 CLIA NUMBER - FALCONS EMERGENCY MEDICAL SERVICES LLC

Laboratory Demographics

CLIA Number: 11D2263292

Facility Name: FALCONS EMERGENCY MEDICAL SERVICES LLC

Facility Address:
29 MILLARD FARMER IND BLVD SUITE D
NEWNAN, GA
ZIP 30263
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Facility Phone Number: 678 552-9849

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1770049975

Taxonomy: 3416L0300X - Ambulance

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
CertificateType	4
CertificateEffectiveDate	6/27/2022
CertificateExpirationDate	6/26/2024
FacilityType	Waiver

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