11D2297729 CLIA NUMBER - HEAVENS DOOR TRANSPORTATION DBA HDT TRANSPORTATION, LLC

Laboratory Demographics

  • CLIA Code: 11D2297729
  • Facility Name: HEAVENS DOOR TRANSPORTATION DBA HDT TRANSPORTATION, LLC
  • Facility Address: 133 OLD RIVER BRIDGE ROAD
    MILLEDGEVILLE, GA
    ZIP 31061
  • Facility Phone: 478 456-2210
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TIMOTHY MADDOX TABIT-EL
  • NPI Number: 1255728804
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 11D2297729
LAB Type Ambulance
Facility Name HEAVENS DOOR TRANSPORTATION DBA HDT TRANSPORTATION, LLC
Street 133 OLD RIVER BRIDGE ROAD
City MILLEDGEVILLE
State GA
ZIP 31061
Phone 478 456-2210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Ambulance
Lab Director TIMOTHY MADDOX TABIT-EL

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This page was last updated on: 3/20/2025