38D2051760 CLIA NUMBER - ZOOMCARE SOUTH COMMERCIAL

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Laboratory Demographics

CLIA Number: 38D2051760

Facility Name: ZOOMCARE SOUTH COMMERCIAL

Facility Address:
2990 COMMERCIAL ST SE, SUITE # 160
SALEM, OR
ZIP 97302
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Facility Phone Number: 503 941-3759

Facility Type: Other - CLINIC

Certificate Type: Waiver

NPI Number: 1033729207

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	38D2051760
LAB Type	Other - CLINIC
Facility Name	ZOOMCARE SOUTH COMMERCIAL
Street	2990 COMMERCIAL ST SE, SUITE # 160
City	SALEM
State	OR
ZIP	97302
Phone	503 941-3759
CertificateType	4
CertificateEffectiveDate	4/6/2024
CertificateExpirationDate	4/5/2026
FacilityType	Waiver

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