38D2008355 CLIA NUMBER - OREGON HEART CENTER PC

Laboratory Demographics

  • CLIA Code: 38D2008355
  • Facility Name: OREGON HEART CENTER PC
  • Facility Address: 610 HAWTHORNE AVE SE
    SALEM, OR
    ZIP 97301
  • Facility Phone: 503 814-4440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM LUDWICK
  • NPI Number: 1902138969
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2008355
LAB Type Physician Office
Facility Name OREGON HEART CENTER PC
Street 610 HAWTHORNE AVE SE
City SALEM
State OR
ZIP 97301
Phone 503 814-4440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director KIM LUDWICK

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