38D0628639 CLIA NUMBER - PETERSON CLINIC LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0628639
  • Facility Name: PETERSON CLINIC LABORATORY
  • Facility Address: 1002 W ELM PO BOX 211
    HERMISTON, OR
    ZIP 97838
  • Facility Phone: (541) 567-6277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KRISTOPHER B. PETERSON DC PC
  • NPI Number: 1437273497
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 38D0628639
LAB Type Physician Office
Facility Name PETERSON CLINIC LABORATORY
Street 1002 W ELM PO BOX 211
City HERMISTON
State OR
ZIP 97838
Phone 5415676277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2026
Certificate Expiration Date 12/31/2027
Facility Type Physician Office
Lab Director DR. KRISTOPHER B. PETERSON DC PC

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This page was last updated on: 5/18/2026