19D2095864 CLIA NUMBER - AIR EVAC LIFETEAM AEL #124 AIR EVAC INC

Laboratory Demographics

  • CLIA Code: 19D2095864
  • Facility Name: AIR EVAC LIFETEAM AEL #124 AIR EVAC INC
  • Facility Address: 299 HANGER RD HANGER B
    OPELOUSAS, LA
    ZIP 70570
  • Facility Phone: 337 278-0327
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KIRK COUSSAN
  • NPI Number: 1427435114
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D2095864
LAB Type Ambulance
Facility Name AIR EVAC LIFETEAM AEL #124 AIR EVAC INC
Street 299 HANGER RD HANGER B
City OPELOUSAS
State LA
ZIP 70570
Phone 337 278-0327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Ambulance
Lab Director KIRK COUSSAN

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