36D2019786 CLIA NUMBER - AIR - EVAC 97

Laboratory Demographics

  • CLIA Code: 36D2019786
  • Facility Name: AIR - EVAC 97
  • Facility Address: 1118 UNION STREET
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 740 876-8502
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STUART BALDWIN
  • NPI Number: 1083910335
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2019786
LAB Type Ambulance
Facility Name AIR - EVAC 97
Street 1118 UNION STREET
City PORTSMOUTH
State OH
ZIP 45662
Phone 740 876-8502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Ambulance
Lab Director STUART BALDWIN

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