26D1087754 CLIA NUMBER - AIR EVAC 008 FARMINGTON

Laboratory Demographics

  • CLIA Code: 26D1087754
  • Facility Name: AIR EVAC 008 FARMINGTON
  • Facility Address: 2002 S US HWY 67
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: 573 756-7506
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHARLES OGAN
  • NPI Number: 1841273596
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D1087754
LAB Type Ambulance
Facility Name AIR EVAC 008 FARMINGTON
Street 2002 S US HWY 67
City FARMINGTON
State MO
ZIP 63640
Phone 573 756-7506
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 OGAN

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