38D2108707 CLIA NUMBER - HARRISON FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 38D2108707
  • Facility Name: HARRISON FAMILY MEDICINE
  • Facility Address: 1100 SOUTHGATE SUITE 6
    PENDLETON, OR
    ZIP 97801
  • Facility Phone: 541 215-1564
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RUSSELL B. HARRISON MD
  • NPI Number: 1154764405
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2108707
LAB Type Community Clinic
Facility Name HARRISON FAMILY MEDICINE
Street 1100 SOUTHGATE SUITE 6
City PENDLETON
State OR
ZIP 97801
Phone 541 215-1564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Community Clinic
Lab Director RUSSELL B. HARRISON MD

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