38D2074958 CLIA NUMBER - WILLAMETTE INTEGRATIVE HEALTH LLC

Laboratory Demographics

  • CLIA Code: 38D2074958
  • Facility Name: WILLAMETTE INTEGRATIVE HEALTH LLC
  • Facility Address: 25195 SW PARKWAY AVE SUITE 210
    WILSONVILLE, OR
    ZIP 97070
  • Facility Phone: 971 245-2185
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH C SEDLAK
  • NPI Number: 1508280918
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2074958
LAB Type Physician Office
Facility Name WILLAMETTE INTEGRATIVE HEALTH LLC
Street 25195 SW PARKWAY AVE SUITE 210
City WILSONVILLE
State OR
ZIP 97070
Phone 971 245-2185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director ELIZABETH C SEDLAK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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