CLIA lab
CLIA 11D2003613: Air Evac 090
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2003613 belongs to Air Evac 090 in Douglas, GA.
Certificate of Waiver, effective February 15, 2026, expires February 14, 2028.
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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 15, 2026
- Certificate expiration
- February 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2010
- 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
- 11D2003613
- Lab name
- Air Evac 090
- Address
- 195 Thomas Frier Drive, Douglas, GA 31535
- Phone
- (912) 384-0393
- Fax
- (912) 384-0400
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.
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Related
Questions
What is the CLIA number for Air Evac 090 in Douglas?
11D2003613, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Air Evac 090 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2003613 expire?
The CMS file lists February 14, 2028 as the certificate expiration date; the certificate took effect February 15, 2026.