38D2279995 CLIA NUMBER - SAINT ALPHONSUS HEALTH SYSTEM MOBILE HEALTH

Laboratory Demographics

  • CLIA Code: 38D2279995
  • Facility Name: SAINT ALPHONSUS HEALTH SYSTEM MOBILE HEALTH
  • Facility Address: 651 SW 9TH ST
    ONTARIO, OR
    ZIP 97914
  • Facility Phone: 208 367-6650
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SHEILA GIFFEN
  • NPI Number: 1073504635
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2279995
LAB Type Mobile Laboratory
Facility Name SAINT ALPHONSUS HEALTH SYSTEM MOBILE HEALTH
Street 651 SW 9TH ST
City ONTARIO
State OR
ZIP 97914
Phone 208 367-6650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Mobile Laboratory
Lab Director SHEILA GIFFEN

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