36D2038212 CLIA NUMBER - AIR - EVAC 107

Laboratory Demographics

  • CLIA Code: 36D2038212
  • Facility Name: AIR - EVAC 107
  • Facility Address: 550 FIREHOUSE DRIVE
    SAINT LOUISVILLE, OH
    ZIP 43071
  • Facility Phone: 740 745-1200
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MEGAN RICE
  • NPI Number: 1972877538
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2038212
LAB Type Ambulance
Facility Name AIR - EVAC 107
Street 550 FIREHOUSE DRIVE
City SAINT LOUISVILLE
State OH
ZIP 43071
Phone 740 745-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Ambulance
Lab Director MEGAN RICE

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