11D2327781 CLIA NUMBER - PIONEER AMBULANCE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 11D2327781
  • Facility Name: PIONEER AMBULANCE SERVICES LLC
  • Facility Address: 900 N HAIRSTON RD, SUITE C-1
    STONE MOUNTAIN, GA
    ZIP 30083
  • Facility Phone: 404 425-6387
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MUMTAZ I. ROBOW
  • NPI Number: 1184412553
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2327781
LAB Type Ambulance
Facility Name PIONEER AMBULANCE SERVICES LLC
Street 900 N HAIRSTON RD, SUITE C-1
City STONE MOUNTAIN
State GA
ZIP 30083
Phone 404 425-6387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Ambulance
Lab Director MUMTAZ I. ROBOW

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