01D1088214 CLIA NUMBER - AIR-EVAC 45

Laboratory Demographics

  • CLIA Code: 01D1088214
  • Facility Name: AIR-EVAC 45
  • Facility Address: 108 21ST NE
    FAYETTE, AL
    ZIP 35555
  • Facility Phone: 205 932-1633
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LARRY SMITH
  • NPI Number: 1992788871
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 01D1088214
LAB Type Ambulance
Facility Name AIR-EVAC 45
Street 108 21ST NE
City FAYETTE
State AL
ZIP 35555
Phone 205 932-1633
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 LARRY SMITH

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