26D1087752 CLIA NUMBER - AIR EVAC 3

Laboratory Demographics

  • CLIA Code: 26D1087752
  • Facility Name: AIR EVAC 3
  • Facility Address: 1829 STATE HIGHWAY H
    SIKESTON, MO
    ZIP 63801
  • Facility Phone: 573 472-1992
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHARLES GROSHONG
  • NPI Number: 1477536647
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D1087752
LAB Type Ambulance
Facility Name AIR EVAC 3
Street 1829 STATE HIGHWAY H
City SIKESTON
State MO
ZIP 63801
Phone 573 472-1992
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 CHARLES GROSHONG

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