38D2313944 CLIA NUMBER - EASTERN OREGON CENTER FOR INDEPENDENT LIVING

Laboratory Demographics

CLIA Code: 38D2313944
Facility Name: EASTERN OREGON CENTER FOR INDEPENDENT LIVING
Facility Address: 322 SW 3RD ST
PENDLETON, OR
ZIP 97801
Facility Phone: 541 276-1037
Facility Type: Mobile Laboratory
Facility Type: Waiver
Lab Director: CRESCENCIA WITHERSPOON
NPI Number: 1417991258
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	38D2313944
LAB Type	Mobile Laboratory
Facility Name	EASTERN OREGON CENTER FOR INDEPENDENT LIVING
Street	322 SW 3RD ST
City	PENDLETON
State	OR
ZIP	97801
Phone	541 276-1037
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/8/2024
Certificate Expiration Date	11/7/2026
Facility Type	Mobile Laboratory
Lab Director	CRESCENCIA WITHERSPOON

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