CLIA lab
CLIA 11D2124084: Air Evac Lifeteam
Tifton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2124084 belongs to Air Evac Lifeteam in Tifton, GA.
Certificate of Waiver, effective January 10, 2025, expires January 9, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 10, 2025
- Certificate expiration
- January 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2017
- Facility type
- Mobile lab
- 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
- 11D2124084
- Lab name
- Air Evac Lifeteam
- Address
- 304 Tifton Eldorado, Tifton, GA 31794
- Phone
- (229) 386-5303
- Fax
- (229) 386-5305
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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- Bradley PlaceCertificate of Waiver, Skilled nursing or nursing facility11D0951815
- Care Medical CenterCertificate of Waiver, Physician office11D2027918
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- Careconnect Urgent CareCertificate of Waiver, Federally qualified health center11D2027897
- Centers for Pain Management of Georgia, LLCCertificate of Waiver, Physician office11D2052195
Related
Questions
What is the CLIA number for Air Evac Lifeteam in Tifton?
11D2124084, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Air Evac Lifeteam hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2124084 expire?
The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.