38D0953445 CLIA NUMBER - IRRIGON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 38D0953445
  • Facility Name: IRRIGON MEDICAL CLINIC
  • Facility Address: 220 N MAIN STREET
    IRRIGON, OR
    ZIP 97844
  • Facility Phone: 541 922-5880
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KATELIN TELLECHEA
  • NPI Number: 1952331282
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0953445
LAB Type Rural Health Clinic
Facility Name IRRIGON MEDICAL CLINIC
Street 220 N MAIN STREET
City IRRIGON
State OR
ZIP 97844
Phone 541 922-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Rural Health Clinic
Lab Director KATELIN TELLECHEA

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