26D2074404 CLIA NUMBER - AIR-EVAC #119

Laboratory Demographics

  • CLIA Code: 26D2074404
  • Facility Name: AIR-EVAC #119
  • Facility Address: 1374 EAST HWY 24
    MOBERLY, MO
    ZIP 65270
  • Facility Phone: 660 263-0427
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RUSSELL FLICK
  • NPI Number: 1134545858
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D2074404
LAB Type Ambulance
Facility Name AIR-EVAC #119
Street 1374 EAST HWY 24
City MOBERLY
State MO
ZIP 65270
Phone 660 263-0427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Ambulance
Lab Director RUSSELL FLICK

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This page was last updated on: 6/4/2025