45D1088154 CLIA NUMBER - AIR EVAC 51 AIR EVAC EMS, INC

Laboratory Demographics

CLIA Number: 45D1088154

Facility Name: AIR EVAC 51 AIR EVAC EMS, INC

Facility Address:
115 HCR 4282
HILLSBORO, TX
ZIP 76645
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Facility Phone Number: 254 580-9023

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1265415087

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D1088154
LAB Type	Ambulance
Facility Name	AIR EVAC 51 AIR EVAC EMS, INC
Street	115 HCR 4282
City	HILLSBORO
State	TX
ZIP	76645
Phone	254 580-9023
CertificateType	4
CertificateEffectiveDate	8/18/2022
CertificateExpirationDate	8/17/2024
FacilityType	Waiver

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