38D2144256 CLIA NUMBER - MID-VALLEY AMBULANCE

Laboratory Demographics

CLIA Number: 38D2144256

Facility Name: MID-VALLEY AMBULANCE

Facility Address:
280 JEFFERSON ST
EUGENE, OR
ZIP 97402
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Facility Phone Number: 541 747-4025

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1104304682

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	38D2144256
LAB Type	Ambulance
Facility Name	MID-VALLEY AMBULANCE
Street	280 JEFFERSON ST
City	EUGENE
State	OR
ZIP	97402
Phone	541 747-4025
CertificateType	4
CertificateEffectiveDate	2/13/2024
CertificateExpirationDate	2/12/2026
FacilityType	Waiver

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