37D2247190 CLIA NUMBER - AIR EVAC LIFETEAM AEL 184 AIR EVAC EMS, INC

Laboratory Demographics

  • CLIA Code: 37D2247190
  • Facility Name: AIR EVAC LIFETEAM AEL 184 AIR EVAC EMS, INC
  • Facility Address: 2881 NW AIRPORT ROAD
    IDABEL, OK
    ZIP 74745
  • Facility Phone: 580 374-2194
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JUSTIN KINKADE
  • NPI Number: 1740944115
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D2247190
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM AEL 184 AIR EVAC EMS, INC
Street 2881 NW AIRPORT ROAD
City IDABEL
State OK
ZIP 74745
Phone 580 374-2194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Mobile Laboratory
Lab Director JUSTIN KINKADE

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