38D0701426 CLIA NUMBER - SWEET HOME FIRE DEPT AMBULANCE LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0701426
  • Facility Name: SWEET HOME FIRE DEPT AMBULANCE LABORATORY
  • Facility Address: 1099 LONG STREET
    SWEET HOME, OR
    ZIP 97386
  • Facility Phone: 541 367-5882
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DOUG D. EMMERT
  • NPI Number: 1467402297
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0701426
LAB Type Other
Facility Name SWEET HOME FIRE DEPT AMBULANCE LABORATORY
Street 1099 LONG STREET
City SWEET HOME
State OR
ZIP 97386
Phone 541 367-5882
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 DOUG D. EMMERT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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