11D2276715 CLIA NUMBER - ATLANTA PRO AMBULANCE

Laboratory Demographics

  • CLIA Code: 11D2276715
  • Facility Name: ATLANTA PRO AMBULANCE
  • Facility Address: 6251 SMITHPOINTE DRIVE, BLDG B, SUITE #200
    PEACHTREE CORNERS, GA
    ZIP 30092
  • Facility Phone: 404 790-7824
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KEVIN PATTERSON
  • NPI Number: 1255922951
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2276715
LAB Type Ambulance
Facility Name ATLANTA PRO AMBULANCE
Street 6251 SMITHPOINTE DRIVE, BLDG B, SUITE #200
City PEACHTREE CORNERS
State GA
ZIP 30092
Phone 404 790-7824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Ambulance
Lab Director KEVIN PATTERSON

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