38D2149419 CLIA NUMBER - LEGACY MEDICAL GROUP-MATERNAL FETAL MEDICINE

Laboratory Demographics

  • CLIA Code: 38D2149419
  • Facility Name: LEGACY MEDICAL GROUP-MATERNAL FETAL MEDICINE
  • Facility Address: 454 WELCH STREET
    SILVERTON, OR
    ZIP 97381
  • Facility Phone: (503) 413-3339
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN G. BUCKMASTER

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CLIA Record

Field Name Field Value
CLIA Number 38D2149419
LAB Type Physician Office
Facility Name LEGACY MEDICAL GROUP-MATERNAL FETAL MEDICINE
Street 454 WELCH STREET
City SILVERTON
State OR
ZIP 97381
Phone 5034133339
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 6/4/2026
Certificate Expiration Date 6/3/2028
Facility Type Physician Office
Lab Director JOHN G. BUCKMASTER

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This page was last updated on: 5/18/2026