38D0699450 CLIA NUMBER - ESTACADA RURAL FIRE DISTRICT 69 LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0699450
  • Facility Name: ESTACADA RURAL FIRE DISTRICT 69 LABORATORY
  • Facility Address: 261 SE 5TH AVE PO BOX 608
    ESTACADA, OR
    ZIP 97023
  • Facility Phone: 503 630-7712
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LARRY LONG
  • NPI Number: 1346713575
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 38D0699450
LAB Type Other
Facility Name ESTACADA RURAL FIRE DISTRICT 69 LABORATORY
Street 261 SE 5TH AVE PO BOX 608
City ESTACADA
State OR
ZIP 97023
Phone 503 630-7712
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 Other
Lab Director LARRY LONG

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