37D1087839 CLIA NUMBER - AIR EVAC LIFETEAM 06

Laboratory Demographics

  • CLIA Code: 37D1087839
  • Facility Name: AIR EVAC LIFETEAM 06
  • Facility Address: 6333 N MAIN STREET
    ALTUS, OK
    ZIP 73521
  • Facility Phone: 580 303-0060
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TAMMIE JAMES
  • NPI Number: 1235112426
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D1087839
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM 06
Street 6333 N MAIN STREET
City ALTUS
State OK
ZIP 73521
Phone 580 303-0060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Mobile Laboratory
Lab Director TAMMIE JAMES

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