11D2283708 CLIA NUMBER - VITALITY TRANSPORT EMS

Laboratory Demographics

  • CLIA Code: 11D2283708
  • Facility Name: VITALITY TRANSPORT EMS
  • Facility Address: 4751 BEST ROAD, SUITE 165
    COLLEGE PARK, GA
    ZIP 30337
  • Facility Phone: 470 586-3532
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: VALENCIA L. KELLY
  • NPI Number: 1669155388
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2283708
LAB Type Ambulance
Facility Name VITALITY TRANSPORT EMS
Street 4751 BEST ROAD, SUITE 165
City COLLEGE PARK
State GA
ZIP 30337
Phone 470 586-3532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Ambulance
Lab Director VALENCIA L. KELLY

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