45D2292768 CLIA NUMBER - PHI AIR MEDICAL - MCHTX

Laboratory Demographics

  • CLIA Code: 45D2292768
  • Facility Name: PHI AIR MEDICAL - MCHTX
  • Facility Address: 1469 WATTLEY WAY STE 500
    MCKINNEY, TX
    ZIP 75069
  • Facility Phone: 601 507-9714
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TRAE BANE
  • NPI Number: 1770528879
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2292768
LAB Type Ambulance
Facility Name PHI AIR MEDICAL - MCHTX
Street 1469 WATTLEY WAY STE 500
City MCKINNEY
State TX
ZIP 75069
Phone 601 507-9714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Ambulance
Lab Director TRAE BANE

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