19D2166570 CLIA NUMBER - AIR EVAC LIFETEAM 160-WINNFIELD

Laboratory Demographics

  • CLIA Code: 19D2166570
  • Facility Name: AIR EVAC LIFETEAM 160-WINNFIELD
  • Facility Address: 306 WALLENBURG DR
    NATCHITOCHES, LA
    ZIP 71457
  • Facility Phone: 318 475-5027
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: HUNTER BRUNET
  • NPI Number: 1861059289
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D2166570
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM 160-WINNFIELD
Street 306 WALLENBURG DR
City NATCHITOCHES
State LA
ZIP 71457
Phone 318 475-5027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Mobile Laboratory
Lab Director HUNTER BRUNET

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