19D2099946 CLIA NUMBER - AIR EVAC LIFETEAM AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 19D2099946
  • Facility Name: AIR EVAC LIFETEAM AIR EVAC EMS INC
  • Facility Address: 505 ELLIE LAYNE
    KINDER, LA
    ZIP 70648
  • Facility Phone: 601 807-2352
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: COREY MILLER
  • NPI Number: 1639545924
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D2099946
LAB Type Ambulance
Facility Name AIR EVAC LIFETEAM AIR EVAC EMS INC
Street 505 ELLIE LAYNE
City KINDER
State LA
ZIP 70648
Phone 601 807-2352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Ambulance
Lab Director COREY MILLER

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