38D1026826 CLIA NUMBER - MARION L GARDNER JR MD

Laboratory Demographics

  • CLIA Code: 38D1026826
  • Facility Name: MARION L GARDNER JR MD
  • Facility Address: 10245 NW GLENCOE RD
    NORTH PLAINS, OR
    ZIP 97133
  • Facility Phone: 503 647-9261
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARION C. GARDNER JR MD
  • NPI Number: 1740382480
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1026826
LAB Type Physician Office
Facility Name MARION L GARDNER JR MD
Street 10245 NW GLENCOE RD
City NORTH PLAINS
State OR
ZIP 97133
Phone 503 647-9261
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 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director MARION C. GARDNER JR MD

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