44D2122402 CLIA NUMBER - AIR EVAC LIFETEAM AEL 141

Laboratory Demographics

  • CLIA Code: 44D2122402
  • Facility Name: AIR EVAC LIFETEAM AEL 141
  • Facility Address: 83 W HOLLEY STREET EXT
    PARSONS, TN
    ZIP 38363
  • Facility Phone: 417 274-9515
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: GLYNN MITCHELL MOONEY
  • NPI Number: 1023551298
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 44D2122402
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM AEL 141
Street 83 W HOLLEY STREET EXT
City PARSONS
State TN
ZIP 38363
Phone 417 274-9515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Mobile Laboratory
Lab Director GLYNN MITCHELL MOONEY

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