18D2069002 CLIA NUMBER - AIR-EVAC EMS INC #116 - AIR EVAC BASE 116

Laboratory Demographics

  • CLIA Code: 18D2069002
  • Facility Name: AIR-EVAC EMS INC #116 - AIR EVAC BASE 116
  • Facility Address: AIR-EVAC BASE 116 1167 SUGARCAMP MOUNTAIN ROAD
    PRESTONSBURG, KY
    ZIP 41653
  • Facility Phone: 606 341-5035
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. BOBBY OSBORNE
  • NPI Number: 1770911901
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D2069002
LAB Type Ambulance
Facility Name AIR-EVAC EMS INC #116 - AIR EVAC BASE 116
Street AIR-EVAC BASE 116 1167 SUGARCAMP MOUNTAIN ROAD
City PRESTONSBURG
State KY
ZIP 41653
Phone 606 341-5035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Ambulance
Lab Director MR. BOBBY OSBORNE

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