11D2280303 CLIA NUMBER - LIFE LINK EMS LLC

Laboratory Demographics

  • CLIA Code: 11D2280303
  • Facility Name: LIFE LINK EMS LLC
  • Facility Address: 3600 NORTH DECATUR ROAD, SUITE #106 E
    SCOTTDALE, GA
    ZIP 30079
  • Facility Phone: 678 697-6923
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SIMON E. PORTEE
  • NPI Number: 1619438850
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2280303
LAB Type Ambulance
Facility Name LIFE LINK EMS LLC
Street 3600 NORTH DECATUR ROAD, SUITE #106 E
City SCOTTDALE
State GA
ZIP 30079
Phone 678 697-6923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Ambulance
Lab Director SIMON E. PORTEE

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