36D2027282 CLIA NUMBER - AIR - EVAC 101

Laboratory Demographics

  • CLIA Code: 36D2027282
  • Facility Name: AIR - EVAC 101
  • Facility Address: 2929 LANCASTER THORNVILLE RD NE
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 681-5701
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LESLIE AQUINO
  • NPI Number: 1295029296
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2027282
LAB Type Ambulance
Facility Name AIR - EVAC 101
Street 2929 LANCASTER THORNVILLE RD NE
City LANCASTER
State OH
ZIP 43130
Phone 740 681-5701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Ambulance
Lab Director LESLIE AQUINO

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