11D2293289 CLIA NUMBER - HTM MEDICAL TRANSPORT LLC

Laboratory Demographics

  • CLIA Code: 11D2293289
  • Facility Name: HTM MEDICAL TRANSPORT LLC
  • Facility Address: 2617 SANDY PLAINS ROAD #1204-B
    MARIETTA, GA
    ZIP 30066
  • Facility Phone: 888 270-8055
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SHANNON V. JONES
  • NPI Number: 1073213682
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2293289
LAB Type Ambulance
Facility Name HTM MEDICAL TRANSPORT LLC
Street 2617 SANDY PLAINS ROAD #1204-B
City MARIETTA
State GA
ZIP 30066
Phone 888 270-8055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Ambulance
Lab Director SHANNON V. JONES

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