38D0935834 CLIA NUMBER - BASIN VOLUNTEER AMBULANCE

Laboratory Demographics

  • CLIA Code: 38D0935834
  • Facility Name: BASIN VOLUNTEER AMBULANCE
  • Facility Address: PO BOX 284
    MALIN, OR
    ZIP 97632
  • Facility Phone: 541 798-5175
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: WAYNE MEEK
  • NPI Number: 1245324169
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0935834
LAB Type Mobile Laboratory
Facility Name BASIN VOLUNTEER AMBULANCE
Street PO BOX 284
City MALIN
State OR
ZIP 97632
Phone 541 798-5175
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 WAYNE MEEK

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