14D2291931 CLIA NUMBER - AIR EVAC LIFETEAM AEL 182 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 14D2291931
  • Facility Name: AIR EVAC LIFETEAM AEL 182 AIR EVAC EMS INC
  • Facility Address: 1250 S AIRPORT RD
    DECATUR, IL
    ZIP 62521
  • Facility Phone: 217 620-7587
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: REGINA AGNEY
  • NPI Number: 1912685660
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D2291931
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM AEL 182 AIR EVAC EMS INC
Street 1250 S AIRPORT RD
City DECATUR
State IL
ZIP 62521
Phone 217 620-7587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Mobile Laboratory
Lab Director REGINA AGNEY

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