38D0623015 CLIA NUMBER - TILLAMOOK COUNTY HEALTH DEPARTMENT ATTN LOLA MARTINDALE

Laboratory Demographics

CLIA Number: 38D0623015

Facility Name: TILLAMOOK COUNTY HEALTH DEPARTMENT ATTN LOLA MARTINDALE

Facility Address:
801 PACIFIC AVE
TILLAMOOK, OR
ZIP 97141
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Facility Phone Number: 503 842-3900

Facility Type: Public Health Laboratories

Certificate Type: Microscopy

NPI Number: 1891173407

Taxonomy: 261QP2400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D0623015
LAB Type	Public Health Laboratories
Facility Name	TILLAMOOK COUNTY HEALTH DEPARTMENT ATTN LOLA MARTINDALE
Street	801 PACIFIC AVE
City	TILLAMOOK
State	OR
ZIP	97141
Phone	503 842-3900
CertificateType	3
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024