38D2293204 CLIA NUMBER - CENTRAL DOUGLAS FIRE & RESCUE

Laboratory Demographics

  • CLIA Code: 38D2293204
  • Facility Name: CENTRAL DOUGLAS FIRE & RESCUE
  • Facility Address: 250 SE MAIN ST
    WINSTON, OR
    ZIP 97496
  • Facility Phone: 541 673-5503
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT J. BULLOCK
  • NPI Number: 1942071006
  • Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic

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CLIA Record

Field Name Field Value
CLIA Number 38D2293204
LAB Type Ambulance
Facility Name CENTRAL DOUGLAS FIRE & RESCUE
Street 250 SE MAIN ST
City WINSTON
State OR
ZIP 97496
Phone 541 673-5503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Ambulance
Lab Director ROBERT J. BULLOCK

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