03D1028477 CLIA NUMBER - CLASSIC AIR CARE LLC DBA CLASSIC AIR MEDICAL

Laboratory Demographics

  • CLIA Code: 03D1028477
  • Facility Name: CLASSIC AIR CARE LLC DBA CLASSIC AIR MEDICAL
  • Facility Address: 230 10TH AVE
    PAGE, AZ
    ZIP 86040
  • Facility Phone: 801 295-5700
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOHN G. BINGHAM
  • NPI Number: 1003855446
  • Taxonomy: 3416A0800X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D1028477
LAB Type Other
Facility Name CLASSIC AIR CARE LLC DBA CLASSIC AIR MEDICAL
Street 230 10TH AVE
City PAGE
State AZ
ZIP 86040
Phone 801 295-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Other
Lab Director JOHN G. BINGHAM

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