11D2293419 CLIA NUMBER - CARDINAL EMS

Laboratory Demographics

  • CLIA Code: 11D2293419
  • Facility Name: CARDINAL EMS
  • Facility Address: 3411 AUSTELL ROAD, SW, SUITE 108
    MARIETTA, GA
    ZIP 30080
  • Facility Phone: 404 987-6326
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TAYLOR STANLEY
  • NPI Number: 1104669191
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2293419
LAB Type Ambulance
Facility Name CARDINAL EMS
Street 3411 AUSTELL ROAD, SW, SUITE 108
City MARIETTA
State GA
ZIP 30080
Phone 404 987-6326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Ambulance
Lab Director TAYLOR STANLEY

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