11D2267674 CLIA NUMBER - SCREVEN COUNTY EMS

Laboratory Demographics

CLIA Number: 11D2267674

Facility Name: SCREVEN COUNTY EMS

Facility Address:
618 FRONTAGE ROAD WEST SUITE B
SYLVANIA, GA
ZIP 30467
Get Directions

Facility Phone Number: 912 564-7889

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1245201094

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	11D2267674
LAB Type	Ambulance
Facility Name	SCREVEN COUNTY EMS
Street	618 FRONTAGE ROAD WEST SUITE B
City	SYLVANIA
State	GA
ZIP	30467
Phone	912 564-7889
CertificateType	4
CertificateEffectiveDate	8/30/2022
CertificateExpirationDate	8/29/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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