04D1089085 CLIA NUMBER - AIR-EVAC 73 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 04D1089085
  • Facility Name: AIR-EVAC 73 AIR EVAC EMS INC
  • Facility Address: 958 HIGHWAY 71 N
    DE QUEEN, AR
    ZIP 71832
  • Facility Phone: 870 642-4700
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: HEIDI HILE
  • NPI Number: 1255525218
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 04D1089085
LAB Type Ambulance
Facility Name AIR-EVAC 73 AIR EVAC EMS INC
Street 958 HIGHWAY 71 N
City DE QUEEN
State AR
ZIP 71832
Phone 870 642-4700
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 HEIDI HILE

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