11D2280847 CLIA NUMBER - ESERYT CARE TRANS, LLC

Laboratory Demographics

  • CLIA Code: 11D2280847
  • Facility Name: ESERYT CARE TRANS, LLC
  • Facility Address: 2154 STONE MOUNTAIN LITHONIA ROAD
    LITHONIA, GA
    ZIP 30058
  • Facility Phone: 470 545-0725
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROYAN GAY
  • NPI Number: 1689110371
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2280847
LAB Type Ambulance
Facility Name ESERYT CARE TRANS, LLC
Street 2154 STONE MOUNTAIN LITHONIA ROAD
City LITHONIA
State GA
ZIP 30058
Phone 470 545-0725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Ambulance
Lab Director ROYAN GAY

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