38D0719689 CLIA NUMBER - SISTERS-CAMP SHERMAN RFPD

Laboratory Demographics

  • CLIA Code: 38D0719689
  • Facility Name: SISTERS-CAMP SHERMAN RFPD
  • Facility Address: 301 S ELM STREET
    SISTERS, OR
    ZIP 97759
  • Facility Phone: 541 549-0771
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEREMY A. AST
  • NPI Number: 1245231760
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0719689
LAB Type Ambulance
Facility Name SISTERS-CAMP SHERMAN RFPD
Street 301 S ELM STREET
City SISTERS
State OR
ZIP 97759
Phone 541 549-0771
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 JEREMY A. AST

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