CLIA lab
CLIA 04D2064713: Air-Evac 113
Blytheville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2064713 belongs to Air-Evac 113 in Blytheville, AR.
Certificate of Waiver, effective August 26, 2025, expires August 25, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 2013
- Facility type
- Ambulance
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2064713
- Lab name
- Air-Evac 113
- Additional name
- Air-Evac EMS Inc
- Address
- 1021 Highland Street, Blytheville, AR 72315
- Phone
- (870) 824-6290
- Fax
- (870) 824-6292
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Blytheville, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2289685
- Adult Medicine Clinic of BlythevilleCertificate of Waiver, Physician office04D1053557
- Allied Health Connect Associates LLCCertificate of Waiver, Public health laboratory04D2288387
- B M A BlythevilleCertificate of Waiver, End stage renal disease dialysis facility04D0942154
- Constance H Smith MD PACertificate of Waiver, Physician office04D2049073
- Delta Behavioral Health LLCCertificate of Waiver, Other04D2275300
- Doc Network - Nucor Yamato Stell Clinic, theCertificate of Waiver, Physician office04D2223423
- Everside Health Blytheville Ar ClinicCertificate of Waiver, Other04D2258358
- Family Medicine Assoc of BlythevilleCertificate of Compliance, Physician office04D0467710
- Fast Pace HealthCertificate of Waiver, Other04D2305580
Related
Questions
What is the CLIA number for Air-Evac 113 in Blytheville?
04D2064713, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Air-Evac 113 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2064713 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.