18D1104799 CLIA NUMBER - AIR-EVAC 88

Laboratory Demographics

  • CLIA Code: 18D1104799
  • Facility Name: AIR-EVAC 88
  • Facility Address: 155 BALL PARK ROAD
    HARLAN, KY
    ZIP 40831
  • Facility Phone: (606) 767-2716
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JONATHAN PRICE
  • NPI Number: 1497986350
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D1104799
LAB Type Ambulance
Facility Name AIR-EVAC 88
Street 155 BALL PARK ROAD
City HARLAN
State KY
ZIP 40831
Phone 6067672716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Ambulance
Lab Director JONATHAN PRICE

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This page was last updated on: 5/18/2026