11D2268676 CLIA NUMBER - VISION AMBULANCE

Laboratory Demographics

  • CLIA Code: 11D2268676
  • Facility Name: VISION AMBULANCE
  • Facility Address: 5538 OLD NATIONAL HIGHWAY
    COLLEGE PARK, GA
    ZIP 30349
  • Facility Phone: (678) 702-4394
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ERROL HANSON
  • NPI Number: 1902516743
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2268676
LAB Type Ambulance
Facility Name VISION AMBULANCE
Street 5538 OLD NATIONAL HIGHWAY
City COLLEGE PARK
State GA
ZIP 30349
Phone 6787024394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Ambulance
Lab Director ERROL HANSON

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This page was last updated on: 5/18/2026