38D2273219 CLIA NUMBER - VERNONIA RURAL FIRE PROTECTION DISTRICT

Laboratory Demographics

CLIA Number: 38D2273219

Facility Name: VERNONIA RURAL FIRE PROTECTION DISTRICT

Facility Address:
555 E BRIDGE ST
VERNONIA, OR
ZIP 97064
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Facility Phone Number: 503 429-8252

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1619349594

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	38D2273219
LAB Type	Ambulance
Facility Name	VERNONIA RURAL FIRE PROTECTION DISTRICT
Street	555 E BRIDGE ST
City	VERNONIA
State	OR
ZIP	97064
Phone	503 429-8252
CertificateType	4
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Waiver

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