42D2054969 CLIA NUMBER - MED-TRANS CORPORATION DBA AIR REACH

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Laboratory Demographics

CLIA Number: 42D2054969

Facility Name: MED-TRANS CORPORATION DBA AIR REACH

Facility Address:
MARION COUNTY AIRPORT 212 AIRPORT COURT
MULLINS, SC
ZIP 29574
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Facility Phone Number: 843 430-9358

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1629332325

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	42D2054969
LAB Type	Ambulance
Facility Name	MED-TRANS CORPORATION DBA AIR REACH
Street	MARION COUNTY AIRPORT 212 AIRPORT COURT
City	MULLINS
State	SC
ZIP	29574
Phone	843 430-9358
CertificateType	4
CertificateEffectiveDate	3/1/2023
CertificateExpirationDate	2/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024