38D0627729 CLIA NUMBER - CHILDREN & ADOLESCENTS CLINIC LAB

Laboratory Demographics

  • CLIA Code: 38D0627729
  • Facility Name: CHILDREN & ADOLESCENTS CLINIC LAB
  • Facility Address: 2940 DOCTORS PARK DR
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 779-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH C. CHRISTENSEN
  • NPI Number: 1558863902
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D0627729
LAB Type Physician Office
Facility Name CHILDREN & ADOLESCENTS CLINIC LAB
Street 2940 DOCTORS PARK DR
City MEDFORD
State OR
ZIP 97504
Phone 541 779-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director SARAH C. CHRISTENSEN

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