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

Laboratory Demographics

CLIA Number: 45D1088156

Facility Name: AIR EVAC 65 AIR EVAC EMS, INC

Facility Address:
5016 S US 75, SUITE 101
DENISON, TX
ZIP 75020
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Facility Phone Number: 830 255-6413

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1265518864

Taxonomy: 3416A0800X - Ambulance

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
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