38D2009761 CLIA NUMBER - PIONEER MEMORIAL HOME HEALTH & HOSPICE

Laboratory Demographics

  • CLIA Code: 38D2009761
  • Facility Name: PIONEER MEMORIAL HOME HEALTH & HOSPICE
  • Facility Address: 162 N MAIN STREET
    HEPPNER, OR
    ZIP 97836
  • Facility Phone: 541 676-2933
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RUSSELL NICHOLS
  • NPI Number: 1841221306
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 38D2009761
LAB Type Home Health Agency
Facility Name PIONEER MEMORIAL HOME HEALTH & HOSPICE
Street 162 N MAIN STREET
City HEPPNER
State OR
ZIP 97836
Phone 541 676-2933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Home Health Agency
Lab Director RUSSELL NICHOLS

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