25D2179437 CLIA NUMBER - PHI AIR MEDICAL

Laboratory Demographics

  • CLIA Code: 25D2179437
  • Facility Name: PHI AIR MEDICAL
  • Facility Address: 368-A FABRITEK DRIVE
    COLUMBUS, MS
    ZIP 39702
  • Facility Phone: 480 263-1611
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES N. BANE III
  • NPI Number: 1760003594
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 25D2179437
LAB Type Ambulance
Facility Name PHI AIR MEDICAL
Street 368-A FABRITEK DRIVE
City COLUMBUS
State MS
ZIP 39702
Phone 480 263-1611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Ambulance
Lab Director JAMES N. BANE III

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