38D0710981 CLIA NUMBER - SUNRIVER FIRE DEPARTMENT LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0710981
  • Facility Name: SUNRIVER FIRE DEPARTMENT LABORATORY
  • Facility Address: 57475 ABBOT DR
    SUNRIVER, OR
    ZIP 97707
  • Facility Phone: 541 593-8622
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JARED JEFFCOTT
  • NPI Number: 1154535946
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0710981
LAB Type Mobile Laboratory
Facility Name SUNRIVER FIRE DEPARTMENT LABORATORY
Street 57475 ABBOT DR
City SUNRIVER
State OR
ZIP 97707
Phone 541 593-8622
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 JARED JEFFCOTT

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