38D0627946 CLIA NUMBER - WELLSPRING FAMILY PRACTICE PART OF ALLCARE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 38D0627946
  • Facility Name: WELLSPRING FAMILY PRACTICE PART OF ALLCARE MEDICAL GROUP
  • Facility Address: 1716 WILLIAMS HWY
    GRANTS PASS, OR
    ZIP 97527
  • Facility Phone: 541 474-6053
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD WILLIAMS
  • NPI Number: 1366492548
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0627946
LAB Type Physician Office
Facility Name WELLSPRING FAMILY PRACTICE PART OF ALLCARE MEDICAL GROUP
Street 1716 WILLIAMS HWY
City GRANTS PASS
State OR
ZIP 97527
Phone 541 474-6053
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director RICHARD WILLIAMS

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