38D2075430 CLIA NUMBER - ONE COMMUNITY HEALTH - THE DALLES

Laboratory Demographics

  • CLIA Code: 38D2075430
  • Facility Name: ONE COMMUNITY HEALTH - THE DALLES
  • Facility Address: 1040 WEBBER ST
    THE DALLES, OR
    ZIP 97058
  • Facility Phone: 541 296-4610
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. CONSTANCE SERRA
  • NPI Number: 1093870990
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2075430
LAB Type Federally Qualified Health Center
Facility Name ONE COMMUNITY HEALTH - THE DALLES
Street 1040 WEBBER ST
City THE DALLES
State OR
ZIP 97058
Phone 541 296-4610
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Federally Qualified Health Center
Lab Director DR. CONSTANCE SERRA

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This page was last updated on: 6/4/2025