38D0664024 CLIA NUMBER - LAKE COUNTY PUBLIC HEALTH LAB

Laboratory Demographics

  • CLIA Code: 38D0664024
  • Facility Name: LAKE COUNTY PUBLIC HEALTH LAB
  • Facility Address: 100 NORTH D SREET SUITE 100
    LAKEVIEW, OR
    ZIP 97630
  • Facility Phone: 541 947-6045
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SPENCER CLARK MD
  • NPI Number: 1376646380
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0664024
LAB Type Other
Facility Name LAKE COUNTY PUBLIC HEALTH LAB
Street 100 NORTH D SREET SUITE 100
City LAKEVIEW
State OR
ZIP 97630
Phone 541 947-6045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Other
Lab Director SPENCER CLARK MD

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