26D1087752 CLIA NUMBER - AIR EVAC 3

Laboratory Demographics

CLIA Number: 26D1087752

Facility Name: AIR EVAC 3

Facility Address:
1829 STATE HIGHWAY H
SIKESTON, MO
ZIP 63801
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Facility Phone Number: 573 472-1992

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1477536647

Taxonomy: 3416A0800X - Ambulance

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
CertificateType	4
CertificateEffectiveDate	8/11/2022
CertificateExpirationDate	8/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024