51D1103999 CLIA NUMBER - AIR EVAC 85 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 51D1103999
  • Facility Name: AIR EVAC 85 AIR EVAC EMS INC
  • Facility Address: 3047 BAND MILL HOLLOW ROAD
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 417 274-9397
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARTY J. HURLEY
  • NPI Number: 1093959587
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D1103999
LAB Type Ambulance
Facility Name AIR EVAC 85 AIR EVAC EMS INC
Street 3047 BAND MILL HOLLOW ROAD
City LOGAN
State WV
ZIP 25601
Phone 417 274-9397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Ambulance
Lab Director MARTY J. HURLEY

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