11D2265750 CLIA NUMBER - ALLYANT, LLC

Laboratory Demographics

  • CLIA Code: 11D2265750
  • Facility Name: ALLYANT, LLC
  • Facility Address: 1572 GA HIGHWAY 85 SUITE 621
    FAYETTEVILLE, GA
    ZIP 30214
  • Facility Phone: 404 642-7009
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEROME WRIGHT
  • NPI Number: 1215498472
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2265750
LAB Type Ambulance
Facility Name ALLYANT, LLC
Street 1572 GA HIGHWAY 85 SUITE 621
City FAYETTEVILLE
State GA
ZIP 30214
Phone 404 642-7009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Ambulance
Lab Director JEROME WRIGHT

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