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

Laboratory Demographics

  • CLIA Code: 44D1087805
  • Facility Name: AIR EVAC 19 AIR EVAC EMS, INC
  • Facility Address: 32 WELDON DRIVE
    LAFAYETTE, TN
    ZIP 37083
  • Facility Phone: 615 688-3822
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TIM BOOHER
  • NPI Number: 1568445377
  • Taxonomy: 3416A0800X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Ambulance
Lab Director TIM BOOHER

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