38D1085078 CLIA NUMBER - WILLAMETTE FALLS PEDIATRIC GROUP CANBY

Laboratory Demographics

  • CLIA Code: 38D1085078
  • Facility Name: WILLAMETTE FALLS PEDIATRIC GROUP CANBY
  • Facility Address: 200 HAZEL DELL WAY #202
    CANBY, OR
    ZIP 97013
  • Facility Phone: 503 266-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DILEK BISHKU
  • NPI Number: 1528220936
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D1085078
LAB Type Physician Office
Facility Name WILLAMETTE FALLS PEDIATRIC GROUP CANBY
Street 200 HAZEL DELL WAY #202
City CANBY
State OR
ZIP 97013
Phone 503 266-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director DR. DILEK BISHKU

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