38D2210227 CLIA NUMBER - NW MIND-BODY WELLNESS

Laboratory Demographics

  • CLIA Code: 38D2210227
  • Facility Name: NW MIND-BODY WELLNESS
  • Facility Address: 945 COLUMBIA STREET NE
    SALEM, OR
    ZIP 97301
  • Facility Phone: 503 707-1950
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DORSEY REBECCA
  • NPI Number: 1467969220
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2210227
LAB Type Practitioner Other
Facility Name NW MIND-BODY WELLNESS
Street 945 COLUMBIA STREET NE
City SALEM
State OR
ZIP 97301
Phone 503 707-1950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Practitioner Other
Lab Director DORSEY REBECCA

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