11D2280787 CLIA NUMBER - DEEP SOUTH AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 11D2280787
  • Facility Name: DEEP SOUTH AMBULANCE SERVICE
  • Facility Address: 37 PEACHTREE STREET
    LAKELAND, GA
    ZIP 31635
  • Facility Phone: 229 482-2899
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LINDA LANCASTER
  • NPI Number: 1073662805
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2280787
LAB Type Ambulance
Facility Name DEEP SOUTH AMBULANCE SERVICE
Street 37 PEACHTREE STREET
City LAKELAND
State GA
ZIP 31635
Phone 229 482-2899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2023
Certificate Expiration Date 4/25/2025
Facility Type Ambulance
Lab Director LINDA LANCASTER

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This page was last updated on: 3/20/2025