38D0667311 CLIA NUMBER - SALEM PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 38D0667311
  • Facility Name: SALEM PEDIATRIC CLINIC
  • Facility Address: 2478 13TH ST SE
    SALEM, OR
    ZIP 97302
  • Facility Phone: 503 485-3636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER WIRSIG
  • NPI Number: 1245307693
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D0667311
LAB Type Physician Office
Facility Name SALEM PEDIATRIC CLINIC
Street 2478 13TH ST SE
City SALEM
State OR
ZIP 97302
Phone 503 485-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director JENNIFER WIRSIG

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