38D0710162 CLIA NUMBER - POLK COUNTY FIRE DISTRICT NO 1

Laboratory Demographics

  • CLIA Code: 38D0710162
  • Facility Name: POLK COUNTY FIRE DISTRICT NO 1
  • Facility Address: 1800 MONMOUTH ST
    INDEPENDENCE, OR
    ZIP 97351
  • Facility Phone: 503 838-1510
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: FRANK EHRMANTRAUT
  • NPI Number: 1376620799
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0710162
LAB Type Ambulance
Facility Name POLK COUNTY FIRE DISTRICT NO 1
Street 1800 MONMOUTH ST
City INDEPENDENCE
State OR
ZIP 97351
Phone 503 838-1510
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 FRANK EHRMANTRAUT

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