38D2209392 CLIA NUMBER - ICCO DBA BESTMED

Laboratory Demographics

  • CLIA Code: 38D2209392
  • Facility Name: ICCO DBA BESTMED
  • Facility Address: 3400 COOPERATIVE WAY
    LEBANON, OR
    ZIP 97355
  • Facility Phone: 541 666-3305
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LESLIE SHORTRIDGE
  • NPI Number: 1104490887
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2209392
LAB Type Other - URGENT CARE
Facility Name ICCO DBA BESTMED
Street 3400 COOPERATIVE WAY
City LEBANON
State OR
ZIP 97355
Phone 541 666-3305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Other - URGENT CARE
Lab Director LESLIE SHORTRIDGE

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