26D1087749 CLIA NUMBER - AIR EVAC 1

Laboratory Demographics

  • CLIA Code: 26D1087749
  • Facility Name: AIR EVAC 1
  • Facility Address: 1802 AIR MEDICAL DRIVE
    WEST PLAINS, MO
    ZIP 65775
  • Facility Phone: 417 256-3259
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOHN NIESEN
  • NPI Number: 1013350339
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D1087749
LAB Type Ambulance
Facility Name AIR EVAC 1
Street 1802 AIR MEDICAL DRIVE
City WEST PLAINS
State MO
ZIP 65775
Phone 417 256-3259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Ambulance
Lab Director JOHN NIESEN

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