11D2263840 CLIA NUMBER - EXPRESS MEDICAL TRANSPORT

Laboratory Demographics

  • CLIA Code: 11D2263840
  • Facility Name: EXPRESS MEDICAL TRANSPORT
  • Facility Address: 7350 HWY 106 SOUTH
    HULL, GA
    ZIP 30646
  • Facility Phone: 706 850-0572
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RONALD C. DEAN
  • NPI Number: 1760002653
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2263840
LAB Type Ambulance
Facility Name EXPRESS MEDICAL TRANSPORT
Street 7350 HWY 106 SOUTH
City HULL
State GA
ZIP 30646
Phone 706 850-0572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Ambulance
Lab Director RONALD C. DEAN

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