38D0871974 CLIA NUMBER - CRESCENT RURAL FIRE PROTECTION DIST LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0871974
  • Facility Name: CRESCENT RURAL FIRE PROTECTION DIST LABORATORY
  • Facility Address: 136727 MAIN ST
    CRESCENT, OR
    ZIP 97733
  • Facility Phone: 541 433-2466
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MR. JERNIGAN D. TAYLOR
  • NPI Number: 1073603528
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0871974
LAB Type Other
Facility Name CRESCENT RURAL FIRE PROTECTION DIST LABORATORY
Street 136727 MAIN ST
City CRESCENT
State OR
ZIP 97733
Phone 541 433-2466
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 Other
Lab Director MR. JERNIGAN D. TAYLOR

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