04D1089081 CLIA NUMBER - AIR-EVAC 40 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 04D1089081
  • Facility Name: AIR-EVAC 40 AIR EVAC EMS INC
  • Facility Address: 800 NORTH MAIN STREET
    HARRISON, AR
    ZIP 72601
  • Facility Phone: 870 416-6583
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JUSTIN DEARING
  • NPI Number: 1407839228
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 04D1089081
LAB Type Ambulance
Facility Name AIR-EVAC 40 AIR EVAC EMS INC
Street 800 NORTH MAIN STREET
City HARRISON
State AR
ZIP 72601
Phone 870 416-6583
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 JUSTIN DEARING

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