38D0972459 CLIA NUMBER - LA PINE RURAL FIRE PROTECTION DISTRICT

Laboratory Demographics

  • CLIA Code: 38D0972459
  • Facility Name: LA PINE RURAL FIRE PROTECTION DISTRICT
  • Facility Address: 51590 HUNTINGTON RD
    LA PINE, OR
    ZIP 97739
  • Facility Phone: 541 536-2935
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BEAU BONITO
  • NPI Number: 1457374878
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0972459
LAB Type Ambulance
Facility Name LA PINE RURAL FIRE PROTECTION DISTRICT
Street 51590 HUNTINGTON RD
City LA PINE
State OR
ZIP 97739
Phone 541 536-2935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Ambulance
Lab Director BEAU BONITO

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