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

Laboratory Demographics

  • CLIA Code: 44D2049795
  • Facility Name: AIR EVAC EMS, INC AIR EVAC 110
  • Facility Address: 1619 S LOCUST AVE
    LAWRENCEBURG, TN
    ZIP 38464
  • Facility Phone: 931 244-6818
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DUSTIN BOMAN
  • NPI Number: 1609131051
  • Taxonomy: 3416A0800X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Ambulance
Lab Director DUSTIN BOMAN

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