11D2266850 CLIA NUMBER - PREMIER MEDICAL TRANSPORTATION

Laboratory Demographics

  • CLIA Code: 11D2266850
  • Facility Name: PREMIER MEDICAL TRANSPORTATION
  • Facility Address: 4545 FORSYTH ROAD SUITE 1
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 337-5202
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KRISTY MCCORKLE
  • NPI Number: 1336617034
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2266850
LAB Type Ambulance
Facility Name PREMIER MEDICAL TRANSPORTATION
Street 4545 FORSYTH ROAD SUITE 1
City MACON
State GA
ZIP 31210
Phone 478 337-5202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Ambulance
Lab Director KRISTY MCCORKLE

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