38D2018183 CLIA NUMBER - THE DALLES VA OUTREACH CLINIC

Laboratory Demographics

  • CLIA Code: 38D2018183
  • Facility Name: THE DALLES VA OUTREACH CLINIC
  • Facility Address: 704 VETERANS DRIVE
    THE DALLES, OR
    ZIP 97058
  • Facility Phone: 503 296-3937
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DEAN FONG
  • NPI Number: 1972924215
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 38D2018183
LAB Type Community Clinic
Facility Name THE DALLES VA OUTREACH CLINIC
Street 704 VETERANS DRIVE
City THE DALLES
State OR
ZIP 97058
Phone 503 296-3937
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 12/28/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DEAN FONG

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