18D1087825 CLIA NUMBER - AIR-EVAC 43

Laboratory Demographics

  • CLIA Code: 18D1087825
  • Facility Name: AIR-EVAC 43
  • Facility Address: 101 GREENBRIAR DRIVE
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Facility Phone: 270 469-1380
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DANIEL DURHAM
  • NPI Number: 1679556658
  • Taxonomy: 3416A0800X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D1087825
LAB Type Ambulance
Facility Name AIR-EVAC 43
Street 101 GREENBRIAR DRIVE
City CAMPBELLSVILLE
State KY
ZIP 42718
Phone 270 469-1380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Ambulance
Lab Director DANIEL DURHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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