18D1087829 CLIA NUMBER - AIR-EVAC 62

Laboratory Demographics

  • CLIA Code: 18D1087829
  • Facility Name: AIR-EVAC 62
  • Facility Address: 210 3RD AVE STE B
    BOWLING GREEN, KY
    ZIP 42101
  • Facility Phone: 270 780-0015
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT ROWLAND
  • NPI Number: 1306890371
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D1087829
LAB Type Ambulance
Facility Name AIR-EVAC 62
Street 210 3RD AVE STE B
City BOWLING GREEN
State KY
ZIP 42101
Phone 270 780-0015
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 ROBERT ROWLAND

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