38D2146682 CLIA NUMBER - OREGON CLINIC ENT SOUTH, THE

Laboratory Demographics

  • CLIA Code: 38D2146682
  • Facility Name: OREGON CLINIC ENT SOUTH, THE
  • Facility Address: 1508 DIVISION STREET, SUITE 115
    OREGON CITY, OR
    ZIP 97045
  • Facility Phone: 503 488-2418
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL LEEDY MD
  • NPI Number: 1477513737
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2146682
LAB Type Physician Office
Facility Name OREGON CLINIC ENT SOUTH, THE
Street 1508 DIVISION STREET, SUITE 115
City OREGON CITY
State OR
ZIP 97045
Phone 503 488-2418
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 DANIEL LEEDY MD

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