38D0709949 CLIA NUMBER - CITY OF PENDLETON AMBULANCE SERVICE LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0709949
  • Facility Name: CITY OF PENDLETON AMBULANCE SERVICE LABORATORY
  • Facility Address: 1455 SE COURT AVE
    PENDLETON, OR
    ZIP 97801
  • Facility Phone: 541 276-1442
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEPHEN BROST
  • NPI Number: 1982607016
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0709949
LAB Type Ambulance
Facility Name CITY OF PENDLETON AMBULANCE SERVICE LABORATORY
Street 1455 SE COURT AVE
City PENDLETON
State OR
ZIP 97801
Phone 541 276-1442
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 Ambulance
Lab Director STEPHEN BROST

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