11D2329270 CLIA NUMBER - CRITICAL CARE AMBULANCE LLC

Laboratory Demographics

  • CLIA Code: 11D2329270
  • Facility Name: CRITICAL CARE AMBULANCE LLC
  • Facility Address: 1000 IRIS DRIVE, SUITE C1
    CONYERS, GA
    ZIP 30094
  • Facility Phone: 404 734-1094
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LEE WILKES
  • NPI Number: 1104616952
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2329270
LAB Type Ambulance
Facility Name CRITICAL CARE AMBULANCE LLC
Street 1000 IRIS DRIVE, SUITE C1
City CONYERS
State GA
ZIP 30094
Phone 404 734-1094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Ambulance
Lab Director LEE WILKES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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