38D2052453 CLIA NUMBER - WILLAMETTE VALLEY TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 38D2052453
  • Facility Name: WILLAMETTE VALLEY TREATMENT CENTER
  • Facility Address: 1160 LIBERTY ST SE
    SALEM, OR
    ZIP 97302
  • Facility Phone: 503 391-9762
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: LORNE CROSS
  • NPI Number: 1427397074
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2052453
LAB Type Comp. Outpatient Rehab Facility
Facility Name WILLAMETTE VALLEY TREATMENT CENTER
Street 1160 LIBERTY ST SE
City SALEM
State OR
ZIP 97302
Phone 503 391-9762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director LORNE CROSS

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