45D2068887 CLIA NUMBER - AIR EVAC EMS, INC AIR EVAC #115

Laboratory Demographics

  • CLIA Code: 45D2068887
  • Facility Name: AIR EVAC EMS, INC AIR EVAC #115
  • Facility Address: 9614 INTERSTATE 20
    EASTLAND, TX
    ZIP 76448
  • Facility Phone: 636 695-5363
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: STEPHANIE WOOD
  • NPI Number: 1760815633
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2068887
LAB Type Mobile Laboratory
Facility Name AIR EVAC EMS, INC AIR EVAC #115
Street 9614 INTERSTATE 20
City EASTLAND
State TX
ZIP 76448
Phone 636 695-5363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Mobile Laboratory
Lab Director STEPHANIE WOOD

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