38D0988872 CLIA NUMBER - AUMSVILLE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 38D0988872
  • Facility Name: AUMSVILLE MEDICAL CLINIC
  • Facility Address: 205 MAIN STREET
    AUMSVILLE, OR
    ZIP 97325
  • Facility Phone: 503 749-4734
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT T. HADDEN MD
  • NPI Number: 1013302017
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0988872
LAB Type Physician Office
Facility Name AUMSVILLE MEDICAL CLINIC
Street 205 MAIN STREET
City AUMSVILLE
State OR
ZIP 97325
Phone 503 749-4734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director SCOTT T. HADDEN MD

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