37D1087847 CLIA NUMBER - AIR EVAC 83 AIR EVAC EMS, INC

Laboratory Demographics

  • CLIA Code: 37D1087847
  • Facility Name: AIR EVAC 83 AIR EVAC EMS, INC
  • Facility Address: 500 S 36TH STREET
    MUSKOGEE, OK
    ZIP 74401
  • Facility Phone: 918 683-0924
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARK FORREST
  • NPI Number: 1003077447
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D1087847
LAB Type Ambulance
Facility Name AIR EVAC 83 AIR EVAC EMS, INC
Street 500 S 36TH STREET
City MUSKOGEE
State OK
ZIP 74401
Phone 918 683-0924
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 Ambulance
Lab Director MARK FORREST

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