38D2112844 CLIA NUMBER - BRIDGETON CHIROPRACTIC LLC

Laboratory Demographics

  • CLIA Code: 38D2112844
  • Facility Name: BRIDGETON CHIROPRACTIC LLC
  • Facility Address: 8885 SW CANYON RD, STE 118
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 971 255-1708
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JULIA E. WILBER DC
  • NPI Number: 1174907638
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2112844
LAB Type Practitioner Other
Facility Name BRIDGETON CHIROPRACTIC LLC
Street 8885 SW CANYON RD, STE 118
City PORTLAND
State OR
ZIP 97225
Phone 971 255-1708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Practitioner Other
Lab Director JULIA E. WILBER DC

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