38D2053624 CLIA NUMBER - HERMISTON MEDICAL CENTER DBA FAMILY HEALTH ASSOCIATES

Laboratory Demographics

  • CLIA Code: 38D2053624
  • Facility Name: HERMISTON MEDICAL CENTER DBA FAMILY HEALTH ASSOCIATES
  • Facility Address: 600 NW 11TH ST, STE E-15
    HERMISTON, OR
    ZIP 97838
  • Facility Phone: 541 567-6434
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DEREK T. EARL
  • NPI Number: 1114261930
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2053624
LAB Type Rural Health Clinic
Facility Name HERMISTON MEDICAL CENTER DBA FAMILY HEALTH ASSOCIATES
Street 600 NW 11TH ST, STE E-15
City HERMISTON
State OR
ZIP 97838
Phone 541 567-6434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Rural Health Clinic
Lab Director DEREK T. EARL

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