38D0627741 CLIA NUMBER - HEARTHSTONE NURSING & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 38D0627741
  • Facility Name: HEARTHSTONE NURSING & REHABILITATION CENTER
  • Facility Address: 2901 E BARNETT RD
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 779-4221
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELLIE WILMES
  • NPI Number: 1174076228
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0627741
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HEARTHSTONE NURSING & REHABILITATION CENTER
Street 2901 E BARNETT RD
City MEDFORD
State OR
ZIP 97504
Phone 541 779-4221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KELLIE WILMES

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This page was last updated on: 6/4/2025