45D1088156 CLIA NUMBER - AIR EVAC 65 AIR EVAC EMS, INC

Laboratory Demographics

  • CLIA Code: 45D1088156
  • Facility Name: AIR EVAC 65 AIR EVAC EMS, INC
  • Facility Address: 5016 S US 75, SUITE 101
    DENISON, TX
    ZIP 75020
  • Facility Phone: 830 255-6413
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOE FOWLER
  • NPI Number: 1265518864
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1088156
LAB Type Ambulance
Facility Name AIR EVAC 65 AIR EVAC EMS, INC
Street 5016 S US 75, SUITE 101
City DENISON
State TX
ZIP 75020
Phone 830 255-6413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Ambulance
Lab Director JOE FOWLER

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