25D2164877 CLIA NUMBER - MEDTRANS CORPORATION MISSISSIPPI AIR RESCUE 5

Laboratory Demographics

  • CLIA Code: 25D2164877
  • Facility Name: MEDTRANS CORPORATION MISSISSIPPI AIR RESCUE 5
  • Facility Address: 900 HANGAR ST
    GULFPORT, MS
    ZIP 39501
  • Facility Phone: 228 214-1576
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: IAN MURRAY
  • NPI Number: 1568915247
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 25D2164877
LAB Type Ambulance
Facility Name MEDTRANS CORPORATION MISSISSIPPI AIR RESCUE 5
Street 900 HANGAR ST
City GULFPORT
State MS
ZIP 39501
Phone 228 214-1576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Ambulance
Lab Director IAN MURRAY

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