45D1087673 CLIA NUMBER - AIR EVAC 54 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 45D1087673
  • Facility Name: AIR EVAC 54 AIR EVAC EMS INC
  • Facility Address: 1601 W 11TH PL STE B
    BIG SPRING, TX
    ZIP 79720
  • Facility Phone: 417 274-0473
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEBRA SCOTT
  • NPI Number: 1083697809
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1087673
LAB Type Ambulance
Facility Name AIR EVAC 54 AIR EVAC EMS INC
Street 1601 W 11TH PL STE B
City BIG SPRING
State TX
ZIP 79720
Phone 417 274-0473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Ambulance
Lab Director DEBRA SCOTT

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