34D0883037 CLIA NUMBER - SURRY COUNTY EMERGENCY SERVICES

Laboratory Demographics

  • CLIA Code: 34D0883037
  • Facility Name: SURRY COUNTY EMERGENCY SERVICES
  • Facility Address: 1218 STATE STREET SUITE 500
    MT AIRY, NC
    ZIP 27030
  • Facility Phone: 910 789-5086
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JASON EDSALL MD
  • NPI Number: 1316221633
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 34D0883037
LAB Type Mobile Laboratory
Facility Name SURRY COUNTY EMERGENCY SERVICES
Street 1218 STATE STREET SUITE 500
City MT AIRY
State NC
ZIP 27030
Phone 910 789-5086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Mobile Laboratory
Lab Director JASON EDSALL MD

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