38D0922740 CLIA NUMBER - SUBLIMITY RURAL FIRE PROTECTION DIST LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0922740
  • Facility Name: SUBLIMITY RURAL FIRE PROTECTION DIST LABORATORY
  • Facility Address: 115 NW PARKER ST PO BOX 911
    SUBLIMITY, OR
    ZIP 97385
  • Facility Phone: 503 769-3282
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JOSHUA WILLIAMS
  • NPI Number: 1538434022
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 38D0922740
LAB Type Mobile Laboratory
Facility Name SUBLIMITY RURAL FIRE PROTECTION DIST LABORATORY
Street 115 NW PARKER ST PO BOX 911
City SUBLIMITY
State OR
ZIP 97385
Phone 503 769-3282
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 JOSHUA WILLIAMS

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