44D2049795 CLIA NUMBER - AIR EVAC EMS, INC AIR EVAC 110

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Laboratory Demographics

CLIA Number: 44D2049795

Facility Name: AIR EVAC EMS, INC AIR EVAC 110

Facility Address:
1619 S LOCUST AVE
LAWRENCEBURG, TN
ZIP 38464
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Facility Phone Number: 931 244-6818

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1609131051

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	44D2049795
LAB Type	Ambulance
Facility Name	AIR EVAC EMS, INC AIR EVAC 110
Street	1619 S LOCUST AVE
City	LAWRENCEBURG
State	TN
ZIP	38464
Phone	931 244-6818
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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