CLIA lab

CLIA 11D2243867: 1st Class Ambulance

Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2243867 belongs to 1st Class Ambulance in Fayetteville, GA.

Certificate of Waiver, effective November 23, 2025, expires November 22, 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
November 23, 2025
Certificate expiration
November 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 23, 2021
Facility type
Ambulance
Ownership (control type)
Proprietary
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
11D2243867
Lab name
1st Class Ambulance
Address
175 Walter Way Suite B, Fayetteville, GA 30214
Phone
(404) 392-0108

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fayetteville, GA

Related

Questions

What is the CLIA number for 1st Class Ambulance in Fayetteville?

11D2243867, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 1st Class Ambulance hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2243867 expire?

The CMS file lists November 22, 2027 as the certificate expiration date; the certificate took effect November 23, 2025.

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