26D1087779 CLIA NUMBER - AIR EVAC 60

Laboratory Demographics

  • CLIA Code: 26D1087779
  • Facility Name: AIR EVAC 60
  • Facility Address: 1515 N OHIO
    SEDALIA, MO
    ZIP 65301
  • Facility Phone: 660 827-5388
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JENNIFER ELLIS
  • NPI Number: 1124006564
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D1087779
LAB Type Ambulance
Facility Name AIR EVAC 60
Street 1515 N OHIO
City SEDALIA
State MO
ZIP 65301
Phone 660 827-5388
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 JENNIFER ELLIS

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