11D2272081 CLIA NUMBER - ESSENTIAL TRANSPORT PROVIDERS LLC

Laboratory Demographics

  • CLIA Code: 11D2272081
  • Facility Name: ESSENTIAL TRANSPORT PROVIDERS LLC
  • Facility Address: 2245 GODBY ROAD
    ATLANTA, GA
    ZIP 30354
  • Facility Phone: 904 504-5529
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LARRY KELLY
  • NPI Number: 1538805940
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2272081
LAB Type Ambulance
Facility Name ESSENTIAL TRANSPORT PROVIDERS LLC
Street 2245 GODBY ROAD
City ATLANTA
State GA
ZIP 30354
Phone 904 504-5529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Ambulance
Lab Director LARRY KELLY

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