38D0621772 CLIA NUMBER - DAVIES MEDICAL CLINIC-OREGON MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 38D0621772
  • Facility Name: DAVIES MEDICAL CLINIC-OREGON MEDICAL GROUP
  • Facility Address: 345 N GRANT STREET
    CANBY, OR
    ZIP 97013
  • Facility Phone: 541 242-2152
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEONA C. BRIDGEMAN
  • NPI Number: 1669679932
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0621772
LAB Type Physician Office
Facility Name DAVIES MEDICAL CLINIC-OREGON MEDICAL GROUP
Street 345 N GRANT STREET
City CANBY
State OR
ZIP 97013
Phone 541 242-2152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DEONA C. BRIDGEMAN

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