11D2015829 CLIA NUMBER - AIR EVAC EMS INC, AE 95

Laboratory Demographics

  • CLIA Code: 11D2015829
  • Facility Name: AIR EVAC EMS INC, AE 95
  • Facility Address: 16722 HIGHWAY 67
    STATESBORO, GA
    ZIP 30458
  • Facility Phone: (912) 489-6481
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT SHUMAN
  • NPI Number: 1447569009
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2015829
LAB Type Ambulance
Facility Name AIR EVAC EMS INC, AE 95
Street 16722 HIGHWAY 67
City STATESBORO
State GA
ZIP 30458
Phone 9124896481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Ambulance
Lab Director ROBERT SHUMAN

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This page was last updated on: 5/18/2026