38D0628650 CLIA NUMBER - STRAWBERRY WILDERNESS COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 38D0628650
  • Facility Name: STRAWBERRY WILDERNESS COMMUNITY CLINIC
  • Facility Address: 180 FORD ROAD
    JOHN DAY, OR
    ZIP 97845
  • Facility Phone: 541 575-0404
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: EMILY LIEUALLEN
  • NPI Number: 1568536035
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0628650
LAB Type Rural Health Clinic
Facility Name STRAWBERRY WILDERNESS COMMUNITY CLINIC
Street 180 FORD ROAD
City JOHN DAY
State OR
ZIP 97845
Phone 541 575-0404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Rural Health Clinic
Lab Director EMILY LIEUALLEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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