05D2314982 CLIA NUMBER - PHI AIR MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 05D2314982
  • Facility Name: PHI AIR MEDICAL, LLC
  • Facility Address: 1790 AIRPORT BLVD
    RED BLUFF, CA
    ZIP 96080
  • Facility Phone: 480 302-0196
  • Facility Type: Other - HELICOPTER EMS
  • Facility Type: Waiver
  • Lab Director: ROBERT A. DONOVAN
  • NPI Number: 1780925990
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 05D2314982
LAB Type Other - HELICOPTER EMS
Facility Name PHI AIR MEDICAL, LLC
Street 1790 AIRPORT BLVD
City RED BLUFF
State CA
ZIP 96080
Phone 480 302-0196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Other - HELICOPTER EMS
Lab Director ROBERT A. DONOVAN

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