45D2104837 CLIA NUMBER - AIR EVAC EMS INC DBA AIR RESCUE HOUSTON COUNTY TX

Laboratory Demographics

  • CLIA Code: 45D2104837
  • Facility Name: AIR EVAC EMS INC DBA AIR RESCUE HOUSTON COUNTY TX
  • Facility Address: 1080 EAST LOOP 304
    CROCKETT, TX
    ZIP 75835
  • Facility Phone: 936 545-8596
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRADLEY BAUCOM
  • NPI Number: 1831569474
  • Taxonomy: 3416A0800X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2104837
LAB Type Ambulance
Facility Name AIR EVAC EMS INC DBA AIR RESCUE HOUSTON COUNTY TX
Street 1080 EAST LOOP 304
City CROCKETT
State TX
ZIP 75835
Phone 936 545-8596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Ambulance
Lab Director BRADLEY BAUCOM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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