38D2119329 CLIA NUMBER - LAKE CHINOOK FIRE & RESCUE

Laboratory Demographics

  • CLIA Code: 38D2119329
  • Facility Name: LAKE CHINOOK FIRE & RESCUE
  • Facility Address: 11700 SW GRAHAM RD
    CULVER, OR
    ZIP 97734
  • Facility Phone: 541 629-8911
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DONALD A COLFELS EMT
  • NPI Number: 1396296406
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D2119329
LAB Type Ambulance
Facility Name LAKE CHINOOK FIRE & RESCUE
Street 11700 SW GRAHAM RD
City CULVER
State OR
ZIP 97734
Phone 541 629-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Ambulance
Lab Director DONALD A COLFELS EMT

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