45D2100240 CLIA NUMBER - AIR EVAC EMS INC DBA AIR EVAC LIFETEAM

Laboratory Demographics

  • CLIA Code: 45D2100240
  • Facility Name: AIR EVAC EMS INC DBA AIR EVAC LIFETEAM
  • Facility Address: 2900 N STREET, SUITE 408
    BEAUMONT, TX
    ZIP 77702
  • Facility Phone: 409 460-8148
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ALYSON NICKUM-SMITH
  • NPI Number: 1104201565
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2100240
LAB Type Ambulance
Facility Name AIR EVAC EMS INC DBA AIR EVAC LIFETEAM
Street 2900 N STREET, SUITE 408
City BEAUMONT
State TX
ZIP 77702
Phone 409 460-8148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Ambulance
Lab Director ALYSON NICKUM-SMITH

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