37D2247593 CLIA NUMBER - AIR EVAC LIFETEAM AEL 174 AIR EVAC EMS, INC

Laboratory Demographics

  • CLIA Code: 37D2247593
  • Facility Name: AIR EVAC LIFETEAM AEL 174 AIR EVAC EMS, INC
  • Facility Address: 10 WALDRON DR, STE A
    DURANT, OK
    ZIP 74701
  • Facility Phone: 580 465-6130
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JARED CHEEK
  • NPI Number: 1134883879
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D2247593
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM AEL 174 AIR EVAC EMS, INC
Street 10 WALDRON DR, STE A
City DURANT
State OK
ZIP 74701
Phone 580 465-6130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Mobile Laboratory
Lab Director JARED CHEEK

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