44D1092318 CLIA NUMBER - AIR EVAC EMS, INC AE 72

Laboratory Demographics

  • CLIA Code: 44D1092318
  • Facility Name: AIR EVAC EMS, INC AE 72
  • Facility Address: 915 ANDREW JACKSON
    WAYNESBORO, TN
    ZIP 38485
  • Facility Phone: 417 274-9650
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRIAN M. SMITH
  • NPI Number: 1295933661
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 44D1092318
LAB Type Ambulance
Facility Name AIR EVAC EMS, INC AE 72
Street 915 ANDREW JACKSON
City WAYNESBORO
State TN
ZIP 38485
Phone 417 274-9650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Ambulance
Lab Director BRIAN M. SMITH

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