38D0964879 CLIA NUMBER - MARK C PHILLIPS MD

Laboratory Demographics

  • CLIA Code: 38D0964879
  • Facility Name: MARK C PHILLIPS MD
  • Facility Address: 860 NORTH MYRTLE RD
    MYRTLE CREEK, OR
    ZIP 97457
  • Facility Phone: (541) 863-3410
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK C. PHILLIPS MD
  • NPI Number: 1275568735
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 38D0964879
LAB Type Physician Office
Facility Name MARK C PHILLIPS MD
Street 860 NORTH MYRTLE RD
City MYRTLE CREEK
State OR
ZIP 97457
Phone 5418633410
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 1/1/2026
Certificate Expiration Date 12/31/2027
Facility Type Physician Office
Lab Director MARK C. PHILLIPS MD

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This page was last updated on: 5/18/2026