44D2121822 CLIA NUMBER - AIR EVAC EMS INC DBA AIR EVAC LIFETEAM AEL 143

Laboratory Demographics

  • CLIA Code: 44D2121822
  • Facility Name: AIR EVAC EMS INC DBA AIR EVAC LIFETEAM AEL 143
  • Facility Address: 701 CC GURIEN DRIVE
    TROY, TN
    ZIP 38260
  • Facility Phone: 731 244-1108
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ANNA GASKINS
  • NPI Number: 1891242301
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 44D2121822
LAB Type Mobile Laboratory
Facility Name AIR EVAC EMS INC DBA AIR EVAC LIFETEAM AEL 143
Street 701 CC GURIEN DRIVE
City TROY
State TN
ZIP 38260
Phone 731 244-1108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Mobile Laboratory
Lab Director ANNA GASKINS

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