38D0909606 CLIA NUMBER - WADATIKA HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 38D0909606
  • Facility Name: WADATIKA HEALTH CENTER
  • Facility Address: 100 PASIGO STREET
    BURNS, OR
    ZIP 97720
  • Facility Phone: 541 573-7312
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: TWILA TEEMAN
  • NPI Number: 1710983903
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0909606
LAB Type Community Clinic
Facility Name WADATIKA HEALTH CENTER
Street 100 PASIGO STREET
City BURNS
State OR
ZIP 97720
Phone 541 573-7312
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Community Clinic
Lab Director TWILA TEEMAN

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