11D2293013 CLIA NUMBER - CROWN EMS LLC

Laboratory Demographics

  • CLIA Code: 11D2293013
  • Facility Name: CROWN EMS LLC
  • Facility Address: 1600 ATKINSON ROAD, SUITE 116
    LAWRENCEVILLE, GA
    ZIP 30043
  • Facility Phone: 404 863-1967
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: EFEMENA UNYOVE
  • NPI Number: 1962175083
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2293013
LAB Type Ambulance
Facility Name CROWN EMS LLC
Street 1600 ATKINSON ROAD, SUITE 116
City LAWRENCEVILLE
State GA
ZIP 30043
Phone 404 863-1967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Ambulance
Lab Director EFEMENA UNYOVE

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