38D0628590 CLIA NUMBER - PIONEER MEMORIAL CLINIC

Laboratory Demographics

  • CLIA Code: 38D0628590
  • Facility Name: PIONEER MEMORIAL CLINIC
  • Facility Address: 130 THOMPSON STREET
    HEPPNER, OR
    ZIP 97836
  • Facility Phone: 541 676-5504
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KATELIN TELLECHEA
  • NPI Number: 1487685004
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0628590
LAB Type Rural Health Clinic
Facility Name PIONEER MEMORIAL CLINIC
Street 130 THOMPSON STREET
City HEPPNER
State OR
ZIP 97836
Phone 541 676-5504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Rural Health Clinic
Lab Director KATELIN TELLECHEA

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This page was last updated on: 9/29/2025