38D2237668 CLIA NUMBER - SMALL TOWN PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 38D2237668
  • Facility Name: SMALL TOWN PEDIATRICS LLC
  • Facility Address: 607 WELCH ST
    SILVERTON, OR
    ZIP 97381
  • Facility Phone: 503 400-0454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS S. HAMBLIN MD
  • NPI Number: 1134799489
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2237668
LAB Type Physician Office
Facility Name SMALL TOWN PEDIATRICS LLC
Street 607 WELCH ST
City SILVERTON
State OR
ZIP 97381
Phone 503 400-0454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director DOUGLAS S. HAMBLIN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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