14D1088060 CLIA NUMBER - AIR EVAC 35 AIR EVAC EMS, INC

Laboratory Demographics

  • CLIA Code: 14D1088060
  • Facility Name: AIR EVAC 35 AIR EVAC EMS, INC
  • Facility Address: 9842 OLD BAINBRIDGE TRL
    MARION, IL
    ZIP 62959
  • Facility Phone: 618 440-2646
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JOSEPH CHANEY
  • NPI Number: 1215910278
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D1088060
LAB Type Mobile Laboratory
Facility Name AIR EVAC 35 AIR EVAC EMS, INC
Street 9842 OLD BAINBRIDGE TRL
City MARION
State IL
ZIP 62959
Phone 618 440-2646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Mobile Laboratory
Lab Director JOSEPH CHANEY

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