38D0951419 CLIA NUMBER - SNAKE RIVER CORRECTIONAL INSTITUTION

Laboratory Demographics

  • CLIA Code: 38D0951419
  • Facility Name: SNAKE RIVER CORRECTIONAL INSTITUTION
  • Facility Address: 777 STANTON BLVD
    ONTARIO, OR
    ZIP 97914
  • Facility Phone: 503 378-5538
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. WARREN ROBERTS
  • NPI Number: 1891178885
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0951419
LAB Type Prison
Facility Name SNAKE RIVER CORRECTIONAL INSTITUTION
Street 777 STANTON BLVD
City ONTARIO
State OR
ZIP 97914
Phone 503 378-5538
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 Prison
Lab Director DR. WARREN ROBERTS

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