11D2267015 CLIA NUMBER - SOUTHMED EMS

Laboratory Demographics

  • CLIA Code: 11D2267015
  • Facility Name: SOUTHMED EMS
  • Facility Address: 212 POWERS FERRY ROAD
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 404 445-8096
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SEAN FLEMING
  • NPI Number: 1700394624
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2267015
LAB Type Ambulance
Facility Name SOUTHMED EMS
Street 212 POWERS FERRY ROAD
City MARIETTA
State GA
ZIP 30067
Phone 404 445-8096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Ambulance
Lab Director SEAN FLEMING

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