38D0669527 CLIA NUMBER - EASTERN OREGON UNIVERSITY STUDENT HEALTH

Laboratory Demographics

  • CLIA Code: 38D0669527
  • Facility Name: EASTERN OREGON UNIVERSITY STUDENT HEALTH
  • Facility Address: ONE UNIVERSITY BLVD
    LA GRANDE, OR
    ZIP 97850
  • Facility Phone: 541 962-3524
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: RAYLENE L. EISELE
  • NPI Number: 1922164482
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 38D0669527
LAB Type School/Student Health Service
Facility Name EASTERN OREGON UNIVERSITY STUDENT HEALTH
Street ONE UNIVERSITY BLVD
City LA GRANDE
State OR
ZIP 97850
Phone 541 962-3524
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type School/Student Health Service
Lab Director RAYLENE L. EISELE

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