04D1089070 CLIA NUMBER - AIR-EVAC 22

Laboratory Demographics

  • CLIA Code: 04D1089070
  • Facility Name: AIR-EVAC 22
  • Facility Address: 32 AIRPORT INDUSTRIAL ROAD
    PARIS, AR
    ZIP 72855
  • Facility Phone: 479 438-5042
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRIS WHITE
  • NPI Number: 1881677870
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 04D1089070
LAB Type Ambulance
Facility Name AIR-EVAC 22
Street 32 AIRPORT INDUSTRIAL ROAD
City PARIS
State AR
ZIP 72855
Phone 479 438-5042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Ambulance
Lab Director CHRIS WHITE

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This page was last updated on: 3/20/2025