43D1049761 CLIA NUMBER - MEDICAL AIR RESCUE CO

Laboratory Demographics

  • CLIA Code: 43D1049761
  • Facility Name: MEDICAL AIR RESCUE CO
  • Facility Address: 3900 AIRPORT ROAD
    RAPID CITY, SD
    ZIP 57703
  • Facility Phone: 605 393-0300
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES JOHNSON
  • NPI Number: 1265582423
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1049761
LAB Type Ambulance
Facility Name MEDICAL AIR RESCUE CO
Street 3900 AIRPORT ROAD
City RAPID CITY
State SD
ZIP 57703
Phone 605 393-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Ambulance
Lab Director JAMES JOHNSON

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