11D2311717 CLIA NUMBER - IMPACT EMS, INC

Laboratory Demographics

  • CLIA Code: 11D2311717
  • Facility Name: IMPACT EMS, INC
  • Facility Address: 55 ATLANTA STREET, SUITE 201
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 404 405-5265
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRANDON J. CURRY
  • NPI Number: 1659107423
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2311717
LAB Type Ambulance
Facility Name IMPACT EMS, INC
Street 55 ATLANTA STREET, SUITE 201
City MARIETTA
State GA
ZIP 30060
Phone 404 405-5265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Ambulance
Lab Director BRANDON J. CURRY

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