11D2266312 CLIA NUMBER - CHAMPION EMS

Laboratory Demographics

  • CLIA Code: 11D2266312
  • Facility Name: CHAMPION EMS
  • Facility Address: 2945 STONE HOGAN CONNECTOR, SUITE 211
    ATLANTA, GA
    ZIP 30331
  • Facility Phone: 770 744-9157
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ARELIOUS E. DUNN
  • NPI Number: 1265087779
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2266312
LAB Type Ambulance
Facility Name CHAMPION EMS
Street 2945 STONE HOGAN CONNECTOR, SUITE 211
City ATLANTA
State GA
ZIP 30331
Phone 770 744-9157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Ambulance
Lab Director ARELIOUS E. DUNN

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