38D2001320 CLIA NUMBER - EASTERN OREGON VA CLINIC

Laboratory Demographics

CLIA Code: 38D2001320
Facility Name: EASTERN OREGON VA CLINIC
Facility Address: 635 HIGHWAY 20 NORTH
HINES, OR
ZIP 97738
Facility Phone: 541 573-8869
Facility Type: Community Clinic
Facility Type: Accreditation
Lab Director: RONALD SLAUGHTER
NPI Number: 1184053175
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	38D2001320
LAB Type	Community Clinic
Facility Name	EASTERN OREGON VA CLINIC
Street	635 HIGHWAY 20 NORTH
City	HINES
State	OR
ZIP	97738
Phone	541 573-8869
Certificate Type	Certificate of Accreditation
Certificate Type Description	This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date	12/16/2009
Certificate Expiration Date	5/22/2026
Facility Type	Community Clinic
Lab Director	RONALD SLAUGHTER

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