14D1088063 CLIA NUMBER - AIR EVAC 27 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 14D1088063
  • Facility Name: AIR EVAC 27 AIR EVAC EMS INC
  • Facility Address: 630 NORTH WESTGATE
    JACKSONVILLE, IL
    ZIP 62650
  • Facility Phone: 217 303-4536
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: NIKOLE OZIER
  • NPI Number: 1730162736
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D1088063
LAB Type Ambulance
Facility Name AIR EVAC 27 AIR EVAC EMS INC
Street 630 NORTH WESTGATE
City JACKSONVILLE
State IL
ZIP 62650
Phone 217 303-4536
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 Ambulance
Lab Director NIKOLE OZIER

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