18D2281351 CLIA NUMBER - AIR EVAC EMS INC DBA AIR EVAC LIFETEAM AEL 179

Laboratory Demographics

  • CLIA Code: 18D2281351
  • Facility Name: AIR EVAC EMS INC DBA AIR EVAC LIFETEAM AEL 179
  • Facility Address: 275 AIR PARK DRIVE
    LONDON, KY
    ZIP 40744
  • Facility Phone: 417 274-4107
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MR. JOE BRADSHAW
  • NPI Number: 1629770128
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D2281351
LAB Type Mobile Laboratory
Facility Name AIR EVAC EMS INC DBA AIR EVAC LIFETEAM AEL 179
Street 275 AIR PARK DRIVE
City LONDON
State KY
ZIP 40744
Phone 417 274-4107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Mobile Laboratory
Lab Director MR. JOE BRADSHAW

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