38D2286068 CLIA NUMBER - ONE COMMUNITY HEALTH EXPRESS

Laboratory Demographics

CLIA Number: 38D2286068

Facility Name: ONE COMMUNITY HEALTH EXPRESS

Facility Address:
1010 WEBBER ST
THE DALLES, OR
ZIP 97058
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Facility Phone Number: 541 386-6380

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1033269204

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D2286068
LAB Type	Federally Qualified Health Center
Facility Name	ONE COMMUNITY HEALTH EXPRESS
Street	1010 WEBBER ST
City	THE DALLES
State	OR
ZIP	97058
Phone	541 386-6380
CertificateType	3
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	PPMP

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