11D2290865 CLIA NUMBER - GB ENTITY DBA GLORY EMS

Laboratory Demographics

CLIA Number: 11D2290865

Facility Name: GB ENTITY DBA GLORY EMS

Facility Address:
801 29TH STREET
COLUMBUS, GA
ZIP 31904
Get Directions

Facility Phone Number: 706 247-8442

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1801670112

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	11D2290865
LAB Type	Ambulance
Facility Name	GB ENTITY DBA GLORY EMS
Street	801 29TH STREET
City	COLUMBUS
State	GA
ZIP	31904
Phone	706 247-8442
CertificateType	4
CertificateEffectiveDate	10/3/2023
CertificateExpirationDate	10/2/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024