38D1061045 CLIA NUMBER - BAY CITIES AMBULANCE

Laboratory Demographics

  • CLIA Code: 38D1061045
  • Facility Name: BAY CITIES AMBULANCE
  • Facility Address: 3505 SE OCEAN BLVD
    COOS BAY, OR
    ZIP 97420
  • Facility Phone: 541 269-1155
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JD FUITEN
  • NPI Number: 1992891980
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D1061045
LAB Type Ambulance
Facility Name BAY CITIES AMBULANCE
Street 3505 SE OCEAN BLVD
City COOS BAY
State OR
ZIP 97420
Phone 541 269-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Ambulance
Lab Director JD FUITEN

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