38D0973177 CLIA NUMBER - CANBY FIRE DISTRICT #62 DBA CANBY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 38D0973177
  • Facility Name: CANBY FIRE DISTRICT #62 DBA CANBY AMBULANCE SERVICE
  • Facility Address: 221 S PINE ST
    CANBY, OR
    ZIP 97013
  • Facility Phone: 503 266-5851
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATT DALE
  • NPI Number: 1356368302
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0973177
LAB Type Ambulance
Facility Name CANBY FIRE DISTRICT #62 DBA CANBY AMBULANCE SERVICE
Street 221 S PINE ST
City CANBY
State OR
ZIP 97013
Phone 503 266-5851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Ambulance
Lab Director MATT DALE

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