44D1087805 CLIA NUMBER - AIR EVAC 19 AIR EVAC EMS, INC

Laboratory Demographics

CLIA Number: 44D1087805

Facility Name: AIR EVAC 19 AIR EVAC EMS, INC

Facility Address:
32 WELDON DRIVE
LAFAYETTE, TN
ZIP 37083
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Facility Phone Number: 615 688-3822

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1568445377

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	44D1087805
LAB Type	Ambulance
Facility Name	AIR EVAC 19 AIR EVAC EMS, INC
Street	32 WELDON DRIVE
City	LAFAYETTE
State	TN
ZIP	37083
Phone	615 688-3822
CertificateType	4
CertificateEffectiveDate	8/12/2022
CertificateExpirationDate	8/11/2024
FacilityType	Waiver

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