37D2102424 CLIA NUMBER - AIR EVAC LIFETEAM AIR EVAC #130 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 37D2102424
  • Facility Name: AIR EVAC LIFETEAM AIR EVAC #130 AIR EVAC EMS INC
  • Facility Address: 2205 EXECUTIVE AIRPORT DR
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 226-3554
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JARED CHEEK
  • NPI Number: 1679942270
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D2102424
LAB Type Ambulance
Facility Name AIR EVAC LIFETEAM AIR EVAC #130 AIR EVAC EMS INC
Street 2205 EXECUTIVE AIRPORT DR
City ARDMORE
State OK
ZIP 73401
Phone 580 226-3554
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 Ambulance
Lab Director JARED CHEEK

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