38D1043689 CLIA NUMBER - SALEM ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 38D1043689
  • Facility Name: SALEM ENDOSCOPY CENTER
  • Facility Address: 875 OAK STREET SE, BLDG C, SUITE C3095
    SALEM, OR
    ZIP 97301
  • Facility Phone: 503 561-8170
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MAKKALEARN EM
  • NPI Number: 1730121401
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1043689
LAB Type Ambulatory Surgery Center
Facility Name SALEM ENDOSCOPY CENTER
Street 875 OAK STREET SE, BLDG C, SUITE C3095
City SALEM
State OR
ZIP 97301
Phone 503 561-8170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Ambulatory Surgery Center
Lab Director MAKKALEARN EM

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