38D1024191 CLIA NUMBER - UMATILLA TRIBAL FIRE DEPT

Laboratory Demographics

  • CLIA Code: 38D1024191
  • Facility Name: UMATILLA TRIBAL FIRE DEPT
  • Facility Address: 73382 CONFEDERATED WAY
    PENDLETON, OR
    ZIP 97801
  • Facility Phone: 541 276-2126
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROB R. BURNSIDE
  • NPI Number: 1295263523
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1024191
LAB Type Ambulance
Facility Name UMATILLA TRIBAL FIRE DEPT
Street 73382 CONFEDERATED WAY
City PENDLETON
State OR
ZIP 97801
Phone 541 276-2126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Ambulance
Lab Director ROB R. BURNSIDE

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