38D2281789 CLIA NUMBER - VALLEY FAMILY HEALTH CARE - FORTNER

Laboratory Demographics

  • CLIA Code: 38D2281789
  • Facility Name: VALLEY FAMILY HEALTH CARE - FORTNER
  • Facility Address: 896 FORTNER ST
    ONTARIO, OR
    ZIP 97914
  • Facility Phone: 208 642-9364
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MORRIS H. SMITH
  • NPI Number: 1245961820
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2281789
LAB Type Federally Qualified Health Center
Facility Name VALLEY FAMILY HEALTH CARE - FORTNER
Street 896 FORTNER ST
City ONTARIO
State OR
ZIP 97914
Phone 208 642-9364
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Federally Qualified Health Center
Lab Director MORRIS H. SMITH

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This page was last updated on: 6/4/2025