38D0920484 CLIA NUMBER - MERRILL CLINIC LLC,THE

Laboratory Demographics

  • CLIA Code: 38D0920484
  • Facility Name: MERRILL CLINIC LLC,THE
  • Facility Address: 125 LINCOLN STREET
    MERRILL, OR
    ZIP 97633
  • Facility Phone: 541 798-5074
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: MICHAEL A. SHEETS FNP
  • NPI Number: 1982606158
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0920484
LAB Type Practitioner Other
Facility Name MERRILL CLINIC LLC,THE
Street 125 LINCOLN STREET
City MERRILL
State OR
ZIP 97633
Phone 541 798-5074
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Practitioner Other
Lab Director MICHAEL A. SHEETS FNP

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