25D2024655 CLIA NUMBER - AIR-EVAC 99

Laboratory Demographics

  • CLIA Code: 25D2024655
  • Facility Name: AIR-EVAC 99
  • Facility Address: 10 ROUX 61 DRIVE
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 304-1175
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JANE CLANTON
  • NPI Number: 1598056046
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 25D2024655
LAB Type Ambulance
Facility Name AIR-EVAC 99
Street 10 ROUX 61 DRIVE
City NATCHEZ
State MS
ZIP 39120
Phone 601 304-1175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Ambulance
Lab Director JANE CLANTON

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