18D2011396 CLIA NUMBER - AIR-EVAC 92

Laboratory Demographics

  • CLIA Code: 18D2011396
  • Facility Name: AIR-EVAC 92
  • Facility Address: 48 PRIVATE HORDE DRIVE
    HARDINSBURG, KY
    ZIP 40143
  • Facility Phone: 270 617-3289
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MS. DEBRA SHADWICK
  • NPI Number: 1821318486
  • Taxonomy: 3416A0800X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Ambulance
Lab Director MS. DEBRA SHADWICK

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