38D2057703 CLIA NUMBER - JACKSONVILLE FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 38D2057703
  • Facility Name: JACKSONVILLE FIRE DEPARTMENT
  • Facility Address: 180 N 3RD ST
    JACKSONVILLE, OR
    ZIP 97530
  • Facility Phone: 541 899-7246
  • Facility Type: Other - RFPD
  • Facility Type: Waiver
  • Lab Director: ALICIA BOND
  • NPI Number: 1457314916
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2057703
LAB Type Other - RFPD
Facility Name JACKSONVILLE FIRE DEPARTMENT
Street 180 N 3RD ST
City JACKSONVILLE
State OR
ZIP 97530
Phone 541 899-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Other - RFPD
Lab Director ALICIA BOND

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