38D0627726 CLIA NUMBER - WELLNESS 2000 INC LAB

Laboratory Demographics

  • CLIA Code: 38D0627726
  • Facility Name: WELLNESS 2000 INC LAB
  • Facility Address: 1175 E MAIN SUITE 2C
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 776-9167
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CATHERINE M. THAYER RN
  • NPI Number: 1023272077
  • Taxonomy: 261QC1800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0627726
LAB Type Ambulance
Facility Name WELLNESS 2000 INC LAB
Street 1175 E MAIN SUITE 2C
City MEDFORD
State OR
ZIP 97504
Phone 541 776-9167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Ambulance
Lab Director CATHERINE M. THAYER RN

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