38D0719050 CLIA NUMBER - EAGLE VALLEY AMBULANCE

Laboratory Demographics

  • CLIA Code: 38D0719050
  • Facility Name: EAGLE VALLEY AMBULANCE
  • Facility Address: 42000 MOODY ROAD
    RICHLAND, OR
    ZIP 97870
  • Facility Phone: (541) 540-3294
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JAMIE J. KAESEMAYER
  • NPI Number: 1710178686
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0719050
LAB Type Other
Facility Name EAGLE VALLEY AMBULANCE
Street 42000 MOODY ROAD
City RICHLAND
State OR
ZIP 97870
Phone 5415403294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2026
Certificate Expiration Date 12/31/2027
Facility Type Other
Lab Director JAMIE J. KAESEMAYER

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This page was last updated on: 5/18/2026