38D0688296 CLIA NUMBER - LEBANON FIRE DIST LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0688296
  • Facility Name: LEBANON FIRE DIST LABORATORY
  • Facility Address: 1050 W OAK ST
    LEBANON, OR
    ZIP 97355
  • Facility Phone: 541 451-1901
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DANIEL WOODSON
  • NPI Number: 1366496853
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0688296
LAB Type Mobile Laboratory
Facility Name LEBANON FIRE DIST LABORATORY
Street 1050 W OAK ST
City LEBANON
State OR
ZIP 97355
Phone 541 451-1901
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 Mobile Laboratory
Lab Director DANIEL WOODSON

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