38D0972996 CLIA NUMBER - PREMIER JETS LIFEGUARD AIR AMBULANCE

Laboratory Demographics

  • CLIA Code: 38D0972996
  • Facility Name: PREMIER JETS LIFEGUARD AIR AMBULANCE
  • Facility Address: 2140 NE 25TH
    HILLSBORO, OR
    ZIP 97124
  • Facility Phone: 503 640-2927
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JUSTIN C. BEHRENS
  • NPI Number: 1760605836
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0972996
LAB Type Ambulance
Facility Name PREMIER JETS LIFEGUARD AIR AMBULANCE
Street 2140 NE 25TH
City HILLSBORO
State OR
ZIP 97124
Phone 503 640-2927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Ambulance
Lab Director JUSTIN C. BEHRENS

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