38D0627640 CLIA NUMBER - SOUTHERN OREGON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 38D0627640
  • Facility Name: SOUTHERN OREGON PEDIATRICS
  • Facility Address: 750 MURPHY RD
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 930-3939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELISHA FARNWORTH
  • NPI Number: 1952892945
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 38D0627640
LAB Type Physician Office
Facility Name SOUTHERN OREGON PEDIATRICS
Street 750 MURPHY RD
City MEDFORD
State OR
ZIP 97504
Phone 541 930-3939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director ELISHA FARNWORTH

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