38D1024383 CLIA NUMBER - CITY OF MITCHELL AMBULANCE

Laboratory Demographics

  • CLIA Code: 38D1024383
  • Facility Name: CITY OF MITCHELL AMBULANCE
  • Facility Address: 240 SE HIGH STREET
    MITCHELL, OR
    ZIP 97750
  • Facility Phone: 541 462-3121
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. CARROLL
  • NPI Number: 1508071200
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D1024383
LAB Type Ambulance
Facility Name CITY OF MITCHELL AMBULANCE
Street 240 SE HIGH STREET
City MITCHELL
State OR
ZIP 97750
Phone 541 462-3121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Ambulance
Lab Director MICHAEL P. CARROLL

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