18D2076707 CLIA NUMBER - AIR-EVAC LIFETEAM #118

Laboratory Demographics

  • CLIA Code: 18D2076707
  • Facility Name: AIR-EVAC LIFETEAM #118
  • Facility Address: 118 MEDICAL CIRCLE
    WEST LIBERTY, KY
    ZIP 41472
  • Facility Phone: (606) 487-2000
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MS. JULIE FAWNS
  • NPI Number: 1740608033
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D2076707
LAB Type Ambulance
Facility Name AIR-EVAC LIFETEAM #118
Street 118 MEDICAL CIRCLE
City WEST LIBERTY
State KY
ZIP 41472
Phone 6064872000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2026
Certificate Expiration Date 4/23/2028
Facility Type Ambulance
Lab Director MS. JULIE FAWNS

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