11D2266861 CLIA NUMBER - PREMIER EMS ATLANTA, INC

Laboratory Demographics

  • CLIA Code: 11D2266861
  • Facility Name: PREMIER EMS ATLANTA, INC
  • Facility Address: 9920 FEAGIN ROAD
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 678 629-2199
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DONALD ANTHONY
  • NPI Number: 1417257890
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2266861
LAB Type Ambulance
Facility Name PREMIER EMS ATLANTA, INC
Street 9920 FEAGIN ROAD
City JONESBORO
State GA
ZIP 30236
Phone 678 629-2199
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 DONALD ANTHONY

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