38D2049680 CLIA NUMBER - DERMATOLOGY & SKIN CARE CENTER OF WEST LINN

Laboratory Demographics

  • CLIA Code: 38D2049680
  • Facility Name: DERMATOLOGY & SKIN CARE CENTER OF WEST LINN
  • Facility Address: 18380 WILLAMETTE DRIVE SUITE 201
    WEST LINN, OR
    ZIP 97068
  • Facility Phone: 405 344-6487
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FARNAZ DANA FAKHARI MD PHD
  • NPI Number: 1508271198
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2049680
LAB Type Physician Office
Facility Name DERMATOLOGY & SKIN CARE CENTER OF WEST LINN
Street 18380 WILLAMETTE DRIVE SUITE 201
City WEST LINN
State OR
ZIP 97068
Phone 405 344-6487
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 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director FARNAZ DANA FAKHARI MD PHD

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