38D0988133 CLIA NUMBER - VA BROOKINGS COMMUNITY BASED OPC

Laboratory Demographics

  • CLIA Code: 38D0988133
  • Facility Name: VA BROOKINGS COMMUNITY BASED OPC
  • Facility Address: 840 RAILROAD STREET
    BROOKINGS, OR
    ZIP 97415
  • Facility Phone: 541 440-1000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MANI EHTESHAMI
  • NPI Number: 1235212986
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 38D0988133
LAB Type Community Clinic
Facility Name VA BROOKINGS COMMUNITY BASED OPC
Street 840 RAILROAD STREET
City BROOKINGS
State OR
ZIP 97415
Phone 541 440-1000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/21/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director MANI EHTESHAMI

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