45D1096744 CLIA NUMBER - AIR-EVAC 71

Laboratory Demographics

  • CLIA Code: 45D1096744
  • Facility Name: AIR-EVAC 71
  • Facility Address: 515 DIMMIT COUNTY AIRPORT ROAD
    CARRIZO SPRINGS, TX
    ZIP 78834
  • Facility Phone: 830 255-1824
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOSE CARRASCO
  • NPI Number: 1699969493
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1096744
LAB Type Ambulance
Facility Name AIR-EVAC 71
Street 515 DIMMIT COUNTY AIRPORT ROAD
City CARRIZO SPRINGS
State TX
ZIP 78834
Phone 830 255-1824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Ambulance
Lab Director JOSE CARRASCO

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