38D1003164 CLIA NUMBER - TRENT B WARREN MD

Laboratory Demographics

  • CLIA Code: 38D1003164
  • Facility Name: TRENT B WARREN MD
  • Facility Address: 1507 SE 3RD COURT
    CANBY, OR
    ZIP 97013
  • Facility Phone: (503) 266-5127
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TRENT B. WARREN
  • NPI Number: 1336367507
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1003164
LAB Type Physician Office
Facility Name TRENT B WARREN MD
Street 1507 SE 3RD COURT
City CANBY
State OR
ZIP 97013
Phone 5032665127
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 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director TRENT B. WARREN

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