45D1088164 CLIA NUMBER - AIR EVAC 52 AIR EVAC EMS, INC

Laboratory Demographics

CLIA Number: 45D1088164

Facility Name: AIR EVAC 52 AIR EVAC EMS, INC

Facility Address:
122 S PARK DRIVE
BROWNWOOD, TX
ZIP 76801
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Facility Phone Number: 325 641-8988

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1174506992

Taxonomy: 3416A0800X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D1088164
LAB Type	Ambulance
Facility Name	AIR EVAC 52 AIR EVAC EMS, INC
Street	122 S PARK DRIVE
City	BROWNWOOD
State	TX
ZIP	76801
Phone	325 641-8988
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