11D2300218 CLIA NUMBER - PRN AMBULANCE

Laboratory Demographics

  • CLIA Code: 11D2300218
  • Facility Name: PRN AMBULANCE
  • Facility Address: 1945 DR BRAMBLETT ROAD
    CUMMING, GA
    ZIP 30028
  • Facility Phone: 678 458-2713
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GRACIELA OSSES
  • NPI Number: 1639911233
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2300218
LAB Type Ambulance
Facility Name PRN AMBULANCE
Street 1945 DR BRAMBLETT ROAD
City CUMMING
State GA
ZIP 30028
Phone 678 458-2713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Ambulance
Lab Director GRACIELA OSSES

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