CLIA lab
CLIA 11D2159864: Air Evac EMS Inc DBA Air Evac Lifeteam Ewl 154
Perry, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2159864 belongs to Air Evac EMS Inc DBA Air Evac Lifeteam Ewl 154 in Perry, GA.
Certificate of Waiver, effective December 28, 2024, expires December 27, 2026.
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
- December 28, 2024
- Certificate expiration
- December 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 2018
- 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
- 11D2159864
- Lab name
- Air Evac EMS Inc DBA Air Evac Lifeteam Ewl 154
- Address
- 1116 Morningside Drive, Perry, GA 31069
- Phone
- (478) 542-4504
- Fax
- (478) 988-0092
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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- Careconnect Convenient CareCertificate of Waiver, Federally qualified health center11D2125723
- Coast To Coast Medical Transportation IncCertificate of Waiver, Ambulance11D2263667
- Dalton Family EyecareCertificate of Waiver, Physician office11D2030002
- Emory Hospital PerryCertificate of Accreditation, Hospital11D0263767
- FP- Peachtree Immediate Care PryCertificate of Waiver, Physician office11D2247464
- Hometown PediatricsCertificate of Waiver, Physician office11D2336498
- Houston County Detention CenterCertificate of Waiver, Other11D2277189
Related
Questions
What is the CLIA number for Air Evac EMS Inc DBA Air Evac Lifeteam Ewl 154 in Perry?
11D2159864, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Air Evac EMS Inc DBA Air Evac Lifeteam Ewl 154 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2159864 expire?
The CMS file lists December 27, 2026 as the certificate expiration date; the certificate took effect December 28, 2024.