38D2146680 CLIA NUMBER - WILLAMETTE VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 38D2146680
  • Facility Name: WILLAMETTE VALLEY PEDIATRICS
  • Facility Address: 1123 HILL STREET SE SUITE B
    ALBANY, OR
    ZIP 97322
  • Facility Phone: 541 704-7304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINA MILLER MD
  • NPI Number: 1427550557
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D2146680
LAB Type Physician Office
Facility Name WILLAMETTE VALLEY PEDIATRICS
Street 1123 HILL STREET SE SUITE B
City ALBANY
State OR
ZIP 97322
Phone 541 704-7304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director CHRISTINA MILLER MD

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