38D0699822 CLIA NUMBER - GLENDALE AMBULANCE DISTRICT LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0699822
  • Facility Name: GLENDALE AMBULANCE DISTRICT LABORATORY
  • Facility Address: 416 TUNNEL ROAD
    GLENDALE, OR
    ZIP 97442
  • Facility Phone: 541 832-2900
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARY ANN VAUGHAN
  • NPI Number: 1134255169
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0699822
LAB Type Other
Facility Name GLENDALE AMBULANCE DISTRICT LABORATORY
Street 416 TUNNEL ROAD
City GLENDALE
State OR
ZIP 97442
Phone 541 832-2900
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 MARY ANN VAUGHAN

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