38D2212224 CLIA NUMBER - ICCO DBA BEST MED

Laboratory Demographics

  • CLIA Code: 38D2212224
  • Facility Name: ICCO DBA BEST MED
  • Facility Address: 186 WEST ELLENDALE AVENUE
    DALLAS, OR
    ZIP 97338
  • Facility Phone: 337 465-4604
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. MARC SCHNAPPER
  • NPI Number: 1619558640
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2212224
LAB Type Other - URGENT CARE
Facility Name ICCO DBA BEST MED
Street 186 WEST ELLENDALE AVENUE
City DALLAS
State OR
ZIP 97338
Phone 337 465-4604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Other - URGENT CARE
Lab Director DR. MARC SCHNAPPER

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