38D1017409 CLIA NUMBER - SALEM VA CBOC

Laboratory Demographics

  • CLIA Code: 38D1017409
  • Facility Name: SALEM VA CBOC
  • Facility Address: 1750 MCGILCHRIST STREET SE SUITE 130
    SALEM, OR
    ZIP 97302
  • Facility Phone: (503) 273-5147
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DEAN FONG
  • NPI Number: 1376581371
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1017409
LAB Type Community Clinic
Facility Name SALEM VA CBOC
Street 1750 MCGILCHRIST STREET SE SUITE 130
City SALEM
State OR
ZIP 97302
Phone 5032735147
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/24/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DEAN FONG

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