11D2276134 CLIA NUMBER - MUTUAL CARE EMS LLC

Laboratory Demographics

  • CLIA Code: 11D2276134
  • Facility Name: MUTUAL CARE EMS LLC
  • Facility Address: 5353 NORTH HENRY BOULEVARD, SUITE 113
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: (404) 692-3603
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMESIA EDGE
  • NPI Number: 1487364386
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2276134
LAB Type Ambulance
Facility Name MUTUAL CARE EMS LLC
Street 5353 NORTH HENRY BOULEVARD, SUITE 113
City STOCKBRIDGE
State GA
ZIP 30281
Phone 4046923603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Ambulance
Lab Director JAMESIA EDGE

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