38D0714317 CLIA NUMBER - DOUGLAS COUNTY FIRE DIST 2 LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0714317
  • Facility Name: DOUGLAS COUNTY FIRE DIST 2 LABORATORY
  • Facility Address: 1400 BUCKHORN ROAD
    ROSEBURG, OR
    ZIP 97470
  • Facility Phone: 541 673-5503
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ROBERT BULLOCK CHIEF
  • NPI Number: 1932283785
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0714317
LAB Type Mobile Laboratory
Facility Name DOUGLAS COUNTY FIRE DIST 2 LABORATORY
Street 1400 BUCKHORN ROAD
City ROSEBURG
State OR
ZIP 97470
Phone 541 673-5503
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 ROBERT BULLOCK CHIEF

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