11D2273549 CLIA NUMBER - ASSURED CARE EMS LLC

Laboratory Demographics

  • CLIA Code: 11D2273549
  • Facility Name: ASSURED CARE EMS LLC
  • Facility Address: 124 NEW HOPE ROAD
    FAYETTEVILLE, GA
    ZIP 30214
  • Facility Phone: 404 996-3202
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LEE WILKES
  • NPI Number: 1245602846
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2273549
LAB Type Ambulance
Facility Name ASSURED CARE EMS LLC
Street 124 NEW HOPE ROAD
City FAYETTEVILLE
State GA
ZIP 30214
Phone 404 996-3202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Ambulance
Lab Director LEE WILKES

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