38D0910138 CLIA NUMBER - SALEM CLINIC SOUTH

Laboratory Demographics

  • CLIA Code: 38D0910138
  • Facility Name: SALEM CLINIC SOUTH
  • Facility Address: 2531 BOONE ROAD SE
    SALEM, OR
    ZIP 97306
  • Facility Phone: 503 375-7537
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAIA M. ADAMS
  • NPI Number: 1912175035
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 38D0910138
LAB Type Physician Office
Facility Name SALEM CLINIC SOUTH
Street 2531 BOONE ROAD SE
City SALEM
State OR
ZIP 97306
Phone 503 375-7537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director KAIA M. ADAMS

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