38D2092974 CLIA NUMBER - BRUNE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 38D2092974
  • Facility Name: BRUNE DERMATOLOGY
  • Facility Address: 1200 QUEEN AVE SE
    ALBANY, OR
    ZIP 97322
  • Facility Phone: 541 230-1350
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICIA OHARE
  • NPI Number: 1093037210
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2092974
LAB Type Physician Office
Facility Name BRUNE DERMATOLOGY
Street 1200 QUEEN AVE SE
City ALBANY
State OR
ZIP 97322
Phone 541 230-1350
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director PATRICIA OHARE

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