15D1087885 CLIA NUMBER - AIR-EVAC 46

Laboratory Demographics

  • CLIA Code: 15D1087885
  • Facility Name: AIR-EVAC 46
  • Facility Address: 617 W DELAWARE
    EVANSVILLE, IN
    ZIP 47710
  • Facility Phone: 812 422-1526
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RON GUTH
  • NPI Number: 1760465645
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D1087885
LAB Type Ambulance
Facility Name AIR-EVAC 46
Street 617 W DELAWARE
City EVANSVILLE
State IN
ZIP 47710
Phone 812 422-1526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Ambulance
Lab Director RON GUTH

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