19D2030699 CLIA NUMBER - AIR EVAC EMS AE 100

Laboratory Demographics

  • CLIA Code: 19D2030699
  • Facility Name: AIR EVAC EMS AE 100
  • Facility Address: 266 HWY 3048
    RAYVILLE, LA
    ZIP 71269
  • Facility Phone: 318 331-8919
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: OLIVIA CASKEY
  • NPI Number: 1679867261
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D2030699
LAB Type Ambulance
Facility Name AIR EVAC EMS AE 100
Street 266 HWY 3048
City RAYVILLE
State LA
ZIP 71269
Phone 318 331-8919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Ambulance
Lab Director OLIVIA CASKEY

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