01D1088210 CLIA NUMBER - AIR-EVAC 15

Laboratory Demographics

  • CLIA Code: 01D1088210
  • Facility Name: AIR-EVAC 15
  • Facility Address: 191 COUNTY ROAD 1360
    VINEMONT, AL
    ZIP 35179
  • Facility Phone: 256 739-8535
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JULIE WARD
  • NPI Number: 1598748303
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 01D1088210
LAB Type Ambulance
Facility Name AIR-EVAC 15
Street 191 COUNTY ROAD 1360
City VINEMONT
State AL
ZIP 35179
Phone 256 739-8535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Ambulance
Lab Director JULIE WARD

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