38D0703041 CLIA NUMBER - KEIZER FIRE DISTRICT LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0703041
  • Facility Name: KEIZER FIRE DISTRICT LABORATORY
  • Facility Address: 661 CHEMAWA RD NE
    KEIZER, OR
    ZIP 97303
  • Facility Phone: 503 393-1045
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: RANDY R. JACKSON
  • NPI Number: 1649273004
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0703041
LAB Type Mobile Laboratory
Facility Name KEIZER FIRE DISTRICT LABORATORY
Street 661 CHEMAWA RD NE
City KEIZER
State OR
ZIP 97303
Phone 503 393-1045
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 RANDY R. JACKSON

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