38D2053135 CLIA NUMBER - MILL CITY RFPD

Laboratory Demographics

  • CLIA Code: 38D2053135
  • Facility Name: MILL CITY RFPD
  • Facility Address: 400 S 1ST AVE
    MILL CITY, OR
    ZIP 97360
  • Facility Phone: 503 897-2390
  • Facility Type: Other - RFPD
  • Facility Type: Waiver
  • Lab Director: LELAND W OHRT
  • NPI Number: 1053456392
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2053135
LAB Type Other - RFPD
Facility Name MILL CITY RFPD
Street 400 S 1ST AVE
City MILL CITY
State OR
ZIP 97360
Phone 503 897-2390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Other - RFPD
Lab Director LELAND W OHRT

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