CLIA lab

CLIA 38D0915079: Legacy Medical Group - Woodburn Family

Woodburn, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 38D0915079 belongs to Legacy Medical Group - Woodburn Family in Woodburn, OR.

Certificate of Waiver, effective March 11, 2026, expires March 10, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 11, 2026
Certificate expiration
March 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 17, 1996
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
38D0915079
Lab name
Legacy Medical Group - Woodburn Family
Address
1475 Mt Hood Ave Suite 120, Woodburn, OR 97071
Phone
(503) 982-2174
Fax
(503) 982-4599

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Woodburn, OR

Related

Questions

What is the CLIA number for Legacy Medical Group - Woodburn Family in Woodburn?

38D0915079, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Legacy Medical Group - Woodburn Family hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D0915079 expire?

The CMS file lists March 10, 2028 as the certificate expiration date; the certificate took effect March 11, 2026.

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