11D2266026 CLIA NUMBER - TRI STAR PATIENT SERVICES, LLC

Laboratory Demographics

CLIA Number: 11D2266026

Facility Name: TRI STAR PATIENT SERVICES, LLC

Facility Address:
2300 LAKEVIEW PARKWAY, SUITE 700
ALPHARETTA, GA
ZIP 30009
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Facility Phone Number: 404 840-4359

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1477332617

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	11D2266026
LAB Type	Ambulance
Facility Name	TRI STAR PATIENT SERVICES, LLC
Street	2300 LAKEVIEW PARKWAY, SUITE 700
City	ALPHARETTA
State	GA
ZIP	30009
Phone	404 840-4359
CertificateType	4
CertificateEffectiveDate	8/4/2022
CertificateExpirationDate	8/3/2024
FacilityType	Waiver

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