38D0980609 CLIA NUMBER - LEGACY MEDICAL GROUP - WOMEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 38D0980609
  • Facility Name: LEGACY MEDICAL GROUP - WOMEN'S HEALTH
  • Facility Address: 5685 INLAND SHORES WAY N
    KEIZER, OR
    ZIP 97303
  • Facility Phone: (503) 873-8853
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOLLY A. MACMORRIS-ADIX
  • NPI Number: 1215274360
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0980609
LAB Type Physician Office
Facility Name LEGACY MEDICAL GROUP - WOMEN'S HEALTH
Street 5685 INLAND SHORES WAY N
City KEIZER
State OR
ZIP 97303
Phone 5038738853
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 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director MOLLY A. MACMORRIS-ADIX

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This page was last updated on: 5/15/2026