25D1087820 CLIA NUMBER - AIR-EVAC 61

Laboratory Demographics

  • CLIA Code: 25D1087820
  • Facility Name: AIR-EVAC 61
  • Facility Address: 311 MEDICAL CENTER DRIVE
    BATESVILLE, MS
    ZIP 38606
  • Facility Phone: 662 563-0267
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SUZANNE JOSLIN
  • NPI Number: 1699734905
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 25D1087820
LAB Type Ambulance
Facility Name AIR-EVAC 61
Street 311 MEDICAL CENTER DRIVE
City BATESVILLE
State MS
ZIP 38606
Phone 662 563-0267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Ambulance
Lab Director SUZANNE JOSLIN

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This page was last updated on: 3/20/2025