38D0628209 CLIA NUMBER - LAKE DISTRICT HOSPITAL

Laboratory Demographics

CLIA Number: 38D0628209

Facility Name: LAKE DISTRICT HOSPITAL

Facility Address:
700 SOUTH J STREET
LAKEVIEW, OR
ZIP 97630
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Facility Phone Number: 541 947-2114

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1376698522

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	38D0628209
LAB Type	Hospital
Facility Name	LAKE DISTRICT HOSPITAL
Street	700 SOUTH J STREET
City	LAKEVIEW
State	OR
ZIP	97630
Phone	541 947-2114
CertificateType	2
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Compliance

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