38D2037981 CLIA NUMBER - ENTERPRISE VA TELEMEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 38D2037981
  • Facility Name: ENTERPRISE VA TELEMEDICINE CLINIC
  • Facility Address: 401 NE 1ST STREET
    ENTERPRISE, OR
    ZIP 97828
  • Facility Phone: 509 527-3465
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ERIC GORANSON
  • NPI Number: 1710378898
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2037981
LAB Type Community Clinic
Facility Name ENTERPRISE VA TELEMEDICINE CLINIC
Street 401 NE 1ST STREET
City ENTERPRISE
State OR
ZIP 97828
Phone 509 527-3465
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 3/9/2012
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ERIC GORANSON

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