18D2011396 CLIA NUMBER - AIR-EVAC 92

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Laboratory Demographics

CLIA Number: 18D2011396

Facility Name: AIR-EVAC 92

Facility Address:
48 PRIVATE HORDE DRIVE
HARDINSBURG, KY
ZIP 40143
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Facility Phone Number: 270 617-3289

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1821318486

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	18D2011396
LAB Type	Ambulance
Facility Name	AIR-EVAC 92
Street	48 PRIVATE HORDE DRIVE
City	HARDINSBURG
State	KY
ZIP	40143
Phone	270 617-3289
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024