18D2275514 CLIA NUMBER - AIR EVAC EMS INC DBA AIR EVAC LIFETEAM

Laboratory Demographics

  • CLIA Code: 18D2275514
  • Facility Name: AIR EVAC EMS INC DBA AIR EVAC LIFETEAM
  • Facility Address: 1348 WENDELL FORD TERMINAL RD
    CHAVIES, KY
    ZIP 41727
  • Facility Phone: 417 274-3265
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MS. TERESA COX-MINK
  • NPI Number: 1548971856
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D2275514
LAB Type Mobile Laboratory
Facility Name AIR EVAC EMS INC DBA AIR EVAC LIFETEAM
Street 1348 WENDELL FORD TERMINAL RD
City CHAVIES
State KY
ZIP 41727
Phone 417 274-3265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Mobile Laboratory
Lab Director MS. TERESA COX-MINK

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