38D0940520 CLIA NUMBER - JAN RADZIK MD

Laboratory Demographics

  • CLIA Code: 38D0940520
  • Facility Name: JAN RADZIK MD
  • Facility Address: 349 S BAKER STREET
    MCMINNVILLE, OR
    ZIP 97128
  • Facility Phone: 503 472-9438
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAN RADZIK MD
  • NPI Number: 1053467357
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0940520
LAB Type Physician Office
Facility Name JAN RADZIK MD
Street 349 S BAKER STREET
City MCMINNVILLE
State OR
ZIP 97128
Phone 503 472-9438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director JAN RADZIK MD

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