37D2281635 CLIA NUMBER - AIR EVAC LIFETEAM AEL 180 AIR EVAC EMS, INC

Laboratory Demographics

  • CLIA Code: 37D2281635
  • Facility Name: AIR EVAC LIFETEAM AEL 180 AIR EVAC EMS, INC
  • Facility Address: 430 AIRPORT RD
    PAULS VALLEY, OK
    ZIP 73075
  • Facility Phone: 405 207-0553
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER ATWOOD
  • NPI Number: 1225739055
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D2281635
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM AEL 180 AIR EVAC EMS, INC
Street 430 AIRPORT RD
City PAULS VALLEY
State OK
ZIP 73075
Phone 405 207-0553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Mobile Laboratory
Lab Director CHRISTOPHER ATWOOD

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