38D0996936 CLIA NUMBER - UNION VOLUNTEER AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 38D0996936

Facility Name: UNION VOLUNTEER AMBULANCE SERVICE

Facility Address:
570 E BEAKMAN
UNION, OR
ZIP 97883
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Facility Phone Number: 541 562-5197

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1255415261

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 38D0996936
LAB Type Mobile Laboratory
Facility Name UNION VOLUNTEER AMBULANCE SERVICE
Street 570 E BEAKMAN
City UNION
State OR
ZIP 97883
Phone 541 562-5197
CertificateType 4
CertificateEffectiveDate 3/1/2024
CertificateExpirationDate 2/28/2026
FacilityType Waiver

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