01D1088212 CLIA NUMBER - AIR-EVAC 16

Laboratory Demographics

  • CLIA Code: 01D1088212
  • Facility Name: AIR-EVAC 16
  • Facility Address: 1010 THREE MILE LANE
    TUSCUMBIA, AL
    ZIP 35674
  • Facility Phone: 256 815-9675
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. MYLES DUBOISE
  • NPI Number: 1033192695
  • Taxonomy: 3416A0800X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D1088212
LAB Type Ambulance
Facility Name AIR-EVAC 16
Street 1010 THREE MILE LANE
City TUSCUMBIA
State AL
ZIP 35674
Phone 256 815-9675
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 MR. MYLES DUBOISE

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