38D2067876 CLIA NUMBER - BAKER VISION CLINIC

Laboratory Demographics

  • CLIA Code: 38D2067876
  • Facility Name: BAKER VISION CLINIC
  • Facility Address: 2150 3RD ST
    BAKER CITY, OR
    ZIP 97814
  • Facility Phone: 541 523-5858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOGAN MITCHELL OD
  • NPI Number: 1013063676
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 38D2067876
LAB Type Physician Office
Facility Name BAKER VISION CLINIC
Street 2150 3RD ST
City BAKER CITY
State OR
ZIP 97814
Phone 541 523-5858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director LOGAN MITCHELL OD

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