38D2092515 CLIA NUMBER - FALCK NORTHWEST CORP DBA FALCK SALEM

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Laboratory Demographics

CLIA Number: 38D2092515

Facility Name: FALCK NORTHWEST CORP DBA FALCK SALEM

Facility Address:
1790 FRONT ST NE
SALEM, OR
ZIP 97301
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Facility Phone Number: 971 301-8637

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1841535721

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	38D2092515
LAB Type	Ambulance
Facility Name	FALCK NORTHWEST CORP DBA FALCK SALEM
Street	1790 FRONT ST NE
City	SALEM
State	OR
ZIP	97301
Phone	971 301-8637
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024