38D2154348 CLIA NUMBER - LEGACY MEDICAL GROUP BUSINESS HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 38D2154348
  • Facility Name: LEGACY MEDICAL GROUP BUSINESS HEALTH SERVICES
  • Facility Address: 1475 MT HOOD AVE
    WOODBURN, OR
    ZIP 97071
  • Facility Phone: 971 983-5225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JULIE C. BROYHILL
  • NPI Number: 1215347109
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2154348
LAB Type Physician Office
Facility Name LEGACY MEDICAL GROUP BUSINESS HEALTH SERVICES
Street 1475 MT HOOD AVE
City WOODBURN
State OR
ZIP 97071
Phone 971 983-5225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director DR. JULIE C. BROYHILL

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