CLIA lab
CLIA 11D2065712: Air Evac EMS, Inc Air Evac #112
Carrollton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2065712 belongs to Air Evac EMS, Inc Air Evac #112 in Carrollton, GA.
Certificate of Waiver, effective September 13, 2025, expires September 12, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2013
- Facility type
- Ambulance
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2065712
- Lab name
- Air Evac EMS, Inc Air Evac #112
- Address
- 827 Old Bremen Rd, Carrollton, GA 30117
- Phone
- (404) 925-6662
- Fax
- (770) 832-3411
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brookdale CarrolltonCertificate of Waiver, Assisted living facility11D0982207
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- Carroll County JailCertificate of Waiver, Other11D1001632
- Carroll County Nephrology PCCertificate of Waiver, Physician office11D0954653
Related
Questions
What is the CLIA number for Air Evac EMS, Inc Air Evac #112 in Carrollton?
11D2065712, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Air Evac EMS, Inc Air Evac #112 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2065712 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.