51D2034655 CLIA NUMBER - AIR EVAC # 103 AIR EVAC EMS INC

Laboratory Demographics

  • CLIA Code: 51D2034655
  • Facility Name: AIR EVAC # 103 AIR EVAC EMS INC
  • Facility Address: 139 SUMMERSVILLE LAKE ROAD
    MOUNT NEBO, WV
    ZIP 26679
  • Facility Phone: 304 651-8764
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER EADES
  • NPI Number: 1417235896
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2034655
LAB Type Ambulance
Facility Name AIR EVAC # 103 AIR EVAC EMS INC
Street 139 SUMMERSVILLE LAKE ROAD
City MOUNT NEBO
State WV
ZIP 26679
Phone 304 651-8764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Ambulance
Lab Director CHRISTOPHER EADES

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