11D2325615 CLIA NUMBER - ELITE MEDCARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2325615
  • Facility Name: ELITE MEDCARE, LLC
  • Facility Address: 3688 CLEARVIEW AVENUE, SUITE 209
    DORAVILLE, GA
    ZIP 30340
  • Facility Phone: 678 983-6940
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KASHIF AHMED
  • NPI Number: 1669353983
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2325615
LAB Type Ambulance
Facility Name ELITE MEDCARE, LLC
Street 3688 CLEARVIEW AVENUE, SUITE 209
City DORAVILLE
State GA
ZIP 30340
Phone 678 983-6940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Ambulance
Lab Director KASHIF AHMED

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