38D1103090 CLIA NUMBER - WALLOWA COUNTY HEALTH CARE DIST EMS

Laboratory Demographics

  • CLIA Code: 38D1103090
  • Facility Name: WALLOWA COUNTY HEALTH CARE DIST EMS
  • Facility Address: 601 MEDICAL PARKWAY
    ENTERPRISE, OR
    ZIP 97828
  • Facility Phone: 541 426-3111
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TIMOTHY D. PECK
  • NPI Number: 1285663997
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 38D1103090
LAB Type Ambulance
Facility Name WALLOWA COUNTY HEALTH CARE DIST EMS
Street 601 MEDICAL PARKWAY
City ENTERPRISE
State OR
ZIP 97828
Phone 541 426-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Ambulance
Lab Director TIMOTHY D. PECK

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