38D1036866 CLIA NUMBER - MARY L SMITH CPM LDM

Laboratory Demographics

  • CLIA Code: 38D1036866
  • Facility Name: MARY L SMITH CPM LDM
  • Facility Address: 7679 SW BAYBERRY DR
    ALOHA, OR
    ZIP 97007
  • Facility Phone: (503) 848-6883
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MARY L. SMITH CPM LDM
  • NPI Number: 1790885515
  • Taxonomy: 176B00000X - Midwife

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CLIA Record

Field Name Field Value
CLIA Number 38D1036866
LAB Type Mobile Laboratory
Facility Name MARY L SMITH CPM LDM
Street 7679 SW BAYBERRY DR
City ALOHA
State OR
ZIP 97007
Phone 5038486883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Mobile Laboratory
Lab Director MARY L. SMITH CPM LDM

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