11D2027913 CLIA NUMBER - AIR EVAC EMS INC, AIR EVAC 102

Laboratory Demographics

  • CLIA Code: 11D2027913
  • Facility Name: AIR EVAC EMS INC, AIR EVAC 102
  • Facility Address: 661 COUNTY FARM ROAD
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 912 321-2260
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRITTA THOMASON
  • NPI Number: 1043507551
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 11D2027913
LAB Type Ambulance
Facility Name AIR EVAC EMS INC, AIR EVAC 102
Street 661 COUNTY FARM ROAD
City DUBLIN
State GA
ZIP 31021
Phone 912 321-2260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Ambulance
Lab Director BRITTA THOMASON

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