11D1100638 CLIA NUMBER - AIR EVAC 86 AIR EVAC EMS INCORPORATED

Laboratory Demographics

  • CLIA Code: 11D1100638
  • Facility Name: AIR EVAC 86 AIR EVAC EMS INCORPORATED
  • Facility Address: 1215 S MARTIN LUTHER KING BLVD
    AMERICUS, GA
    ZIP 31719
  • Facility Phone: 229 891-8607
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JONATHAN LOTT
  • NPI Number: 1588899868
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D1100638
LAB Type Ambulance
Facility Name AIR EVAC 86 AIR EVAC EMS INCORPORATED
Street 1215 S MARTIN LUTHER KING BLVD
City AMERICUS
State GA
ZIP 31719
Phone 229 891-8607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Ambulance
Lab Director JONATHAN LOTT

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