11D2299492 CLIA NUMBER - RESCUE NINE INC

Laboratory Demographics

  • CLIA Code: 11D2299492
  • Facility Name: RESCUE NINE INC
  • Facility Address: 106 COLONY PARK DRIVE, SUITE 900
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 770 215-9834
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GEVORG SEDRAKYAN
  • NPI Number: 1275381147
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2299492
LAB Type Ambulance
Facility Name RESCUE NINE INC
Street 106 COLONY PARK DRIVE, SUITE 900
City CUMMING
State GA
ZIP 30040
Phone 770 215-9834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Ambulance
Lab Director GEVORG SEDRAKYAN

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