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LA GRANDE VA CLINIC
NPI 1184812943
Clinic/Center - VA in La Grande, OR

Active since October 05, 2007CLIA 38D1083646 · Accreditation
202 12TH ST, LA GRANDE, OR 97850(702) 341-3164 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 15, 2017, Feb 9, 2017 (2 updates tracked since 2017).

About La Grande Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA GRANDE VA CLINIC (NPI 1184812943) is a healthcare organization registered as a va in La Grande, Oregon and active in the NPI registry since October 2007. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1184812943
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameWALLA WALLA VAMC
Location Address202 12TH STLa Grande, OR 97850-2879
Mailing AddressPo Box 94423Cleveland, OH 44101-4423 · (702) 341-3164
Phone(702) 341-3164
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateOctober 5, 2007
Last NPPES UpdateNovember 15, 20172 updates tracked since enumeration
✔ NPI 1184812943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
202 12TH ST, La Grande, OR 97850
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Other Names 1

Other NameLa Grande Va Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D1083646

La Grande VA Clinic · La Grande, OR
Active · expires Sep 30, 2026
CLIA Number38D1083646
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 7, 2008
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorEric Goranson
Laboratory Phone(509) 527-3465
Laboratory LocationLa Grande VA Clinic201 12th St, La Grande, OR 97850
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FELICIA ANN RIDINGS MS, PCA, CADC I
Counselor (Professional)
202 12TH ST
LA GRANDE, OR 97850
Union County (541) 963-0627
SHEENA BURTON APRN-CNP
Nurse Practitioner (Family)
202 12TH ST
LA GRANDE, OR 97850
Union County (541) 963-0627
SARAH CHRISTINE GREGG NP-C
Nurse Practitioner (Family)
202 12TH ST
LA GRANDE, OR 97850
Union County (541) 963-0627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walla Walla Vamc's NPI number?

The NPI number for Walla Walla Vamc is 1184812943. It was assigned to this organization in the NPPES registry on October 5, 2007. The provider is also known as La Grande VA Clinic.

Where is Walla Walla Vamc located?

Walla Walla Vamc is located at 202 12th St, La Grande, OR 97850. The listed phone number is (702) 341-3164.

What is Walla Walla Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Walla Walla Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 38D1083646) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walla Walla Vamc was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.