38D2051086 CLIA NUMBER - ARMSTRONG WELLNESS

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Laboratory Demographics

CLIA Number: 38D2051086

Facility Name: ARMSTRONG WELLNESS

Facility Address:
1655 STATE ST
SALEM, OR
ZIP 97301
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Facility Phone Number: 503 581-1198

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1063772184

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	38D2051086
LAB Type	Practitioner Other
Facility Name	ARMSTRONG WELLNESS
Street	1655 STATE ST
City	SALEM
State	OR
ZIP	97301
Phone	503 581-1198
CertificateType	4
CertificateEffectiveDate	12/12/2022
CertificateExpirationDate	12/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024