CLIA lab
CLIA 11D2177966: Air Evac Lifeteam Ael 153
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2177966 belongs to Air Evac Lifeteam Ael 153 in Fayetteville, GA.
Certificate of Waiver, effective January 23, 2026, expires January 22, 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
- January 23, 2026
- Certificate expiration
- January 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 23, 2020
- 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
- 11D2177966
- Lab name
- Air Evac Lifeteam Ael 153
- Address
- 125 Promenade Parkway, Fayetteville, GA 30214
- Phone
- (916) 342-9384
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 Lifeteam Ael 153 in Fayetteville?
11D2177966, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Air Evac Lifeteam Ael 153 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2177966 expire?
The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.