38D2225979 CLIA NUMBER - PATRICIA L SPENCER MD PC

Laboratory Demographics

  • CLIA Code: 38D2225979
  • Facility Name: PATRICIA L SPENCER MD PC
  • Facility Address: 66 SW 4TH STREET
    MADRAS, OR
    ZIP 97741
  • Facility Phone: 541 508-9140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA L. SPENCER MD MBA MPH
  • NPI Number: 1609117472
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 38D2225979
LAB Type Physician Office
Facility Name PATRICIA L SPENCER MD PC
Street 66 SW 4TH STREET
City MADRAS
State OR
ZIP 97741
Phone 541 508-9140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2023
Certificate Expiration Date 5/24/2025
Facility Type Physician Office
Lab Director PATRICIA L. SPENCER MD MBA MPH

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This page was last updated on: 3/20/2025