37D1087840 CLIA NUMBER - AIR EVAC 21 AIR EVAC EMS, INC

Laboratory Demographics

  • CLIA Code: 37D1087840
  • Facility Name: AIR EVAC 21 AIR EVAC EMS, INC
  • Facility Address: 71 NORMAN MARTIN BLVD
    ELK CITY, OK
    ZIP 73644
  • Facility Phone: 580 303-9200
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TAMMIE JAMES
  • NPI Number: 1356324347
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D1087840
LAB Type Mobile Laboratory
Facility Name AIR EVAC 21 AIR EVAC EMS, INC
Street 71 NORMAN MARTIN BLVD
City ELK CITY
State OK
ZIP 73644
Phone 580 303-9200
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