38D0973547 CLIA NUMBER - SHERMAN COUNTY AMBULANCE

Laboratory Demographics

CLIA Number: 38D0973547

Facility Name: SHERMAN COUNTY AMBULANCE

Facility Address:
309 DEWEY STREET
MORO, OR
ZIP 97039
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Facility Phone Number: 541 565-3100

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1437179033

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 38D0973547
LAB Type Ambulance
Facility Name SHERMAN COUNTY AMBULANCE
Street 309 DEWEY STREET
City MORO
State OR
ZIP 97039
Phone 541 565-3100
CertificateType 4
CertificateEffectiveDate 5/9/2024
CertificateExpirationDate 5/8/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024