11D2282320 CLIA NUMBER - PERSONAL CARE EMS LLC

Laboratory Demographics

  • CLIA Code: 11D2282320
  • Facility Name: PERSONAL CARE EMS LLC
  • Facility Address: 7754 HAMPTON PLACE
    LOGANVILLE, GA
    ZIP 30052
  • Facility Phone: 678 698-6585
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DANA A. PERRYMAN
  • NPI Number: 1770281917
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2282320
LAB Type Ambulance
Facility Name PERSONAL CARE EMS LLC
Street 7754 HAMPTON PLACE
City LOGANVILLE
State GA
ZIP 30052
Phone 678 698-6585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Ambulance
Lab Director DANA A. PERRYMAN

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