37D2102422 CLIA NUMBER - AIR EVAC LIEFETEAM AIR EVAC #131 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 37D2102422
  • Facility Name: AIR EVAC LIEFETEAM AIR EVAC #131 AIR EVAC EMS INC
  • Facility Address: 800 HOSPITAL CIRCLE
    KINGFISHER, OK
    ZIP 73750
  • Facility Phone: 405 763-9017
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ADAM DEEM
  • NPI Number: 1922477520
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D2102422
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIEFETEAM AIR EVAC #131 AIR EVAC EMS INC
Street 800 HOSPITAL CIRCLE
City KINGFISHER
State OK
ZIP 73750
Phone 405 763-9017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Mobile Laboratory
Lab Director ADAM DEEM

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