45D1088161 CLIA NUMBER - AIR EVAC 55 AIR EVAC EMS, INC

Laboratory Demographics

  • CLIA Code: 45D1088161
  • Facility Name: AIR EVAC 55 AIR EVAC EMS, INC
  • Facility Address: 322 SW 25TH AVENUE
    MINERAL WELLS, TX
    ZIP 76067
  • Facility Phone: 940 327-8702
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KATHY HUMPHREY
  • NPI Number: 1891778627
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1088161
LAB Type Ambulance
Facility Name AIR EVAC 55 AIR EVAC EMS, INC
Street 322 SW 25TH AVENUE
City MINERAL WELLS
State TX
ZIP 76067
Phone 940 327-8702
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 KATHY HUMPHREY

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