18D2163438 CLIA NUMBER - AIR EVAC LIFETEAM 157

Laboratory Demographics

  • CLIA Code: 18D2163438
  • Facility Name: AIR EVAC LIFETEAM 157
  • Facility Address: 3551 COLEMAN RD
    PADUCAH, KY
    ZIP 42001
  • Facility Phone: 636 695-5362
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MR. ALLEN JONES
  • NPI Number: 1710450051
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D2163438
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM 157
Street 3551 COLEMAN RD
City PADUCAH
State KY
ZIP 42001
Phone 636 695-5362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Mobile Laboratory
Lab Director MR. ALLEN JONES

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