45D2141938 CLIA NUMBER - AIR EVAC LIFETEAM 148/MAC 1

Laboratory Demographics

  • CLIA Code: 45D2141938
  • Facility Name: AIR EVAC LIFETEAM 148/MAC 1
  • Facility Address: 1115 PAUL WILKINS STREET
    SAN ANTONIO, TX
    ZIP 78216
  • Facility Phone: 210 592-8646
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TORY GARFIELD
  • NPI Number: 1285003889
  • Taxonomy: 3416A0800X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2141938
LAB Type Mobile Laboratory
Facility Name AIR EVAC LIFETEAM 148/MAC 1
Street 1115 PAUL WILKINS STREET
City SAN ANTONIO
State TX
ZIP 78216
Phone 210 592-8646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Mobile Laboratory
Lab Director TORY GARFIELD

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