25D1103124 CLIA NUMBER - AIR EVAC EMS #87

Laboratory Demographics

CLIA Number: 25D1103124

Facility Name: AIR EVAC EMS #87

Facility Address:
1609 HOSPITAL STREET
GREENVILLE, MS
ZIP 38703
Get Directions

Facility Phone Number: 601 218-7631

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1124257670

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	25D1103124
LAB Type	Ambulance
Facility Name	AIR EVAC EMS #87
Street	1609 HOSPITAL STREET
City	GREENVILLE
State	MS
ZIP	38703
Phone	601 218-7631
CertificateType	4
CertificateEffectiveDate	8/3/2023
CertificateExpirationDate	8/2/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024