38D2096740 CLIA NUMBER - IONE COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 38D2096740
  • Facility Name: IONE COMMUNITY CLINIC
  • Facility Address: 365 W 3RD STREET
    IONE, OR
    ZIP 97843
  • Facility Phone: (541) 422-7128
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KATELIN TELLECHEA
  • NPI Number: 1477945517
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2096740
LAB Type Rural Health Clinic
Facility Name IONE COMMUNITY CLINIC
Street 365 W 3RD STREET
City IONE
State OR
ZIP 97843
Phone 5414227128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2025
Certificate Expiration Date 12/1/2027
Facility Type Rural Health Clinic
Lab Director KATELIN TELLECHEA

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This page was last updated on: 5/18/2026