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38D0709949 CLIA NUMBER - CITY OF PENDLETON AMBULANCE SERVICE LABORATORY

Laboratory Demographics

CLIA Number: 38D0709949

Facility Name: CITY OF PENDLETON AMBULANCE SERVICE LABORATORY

Facility Address:
1455 SE COURT AVE
PENDLETON, OR
ZIP 97801
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Facility Phone Number: 541 276-1442

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1982607016

Taxonomy: 3416L0300X - Ambulance

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
CertificateType 4
CertificateEffectiveDate 1/1/2024
CertificateExpirationDate 12/31/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024