38D0628069 CLIA NUMBER - TALENT CLINIC LLC LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0628069
  • Facility Name: TALENT CLINIC LLC LABORATORY
  • Facility Address: 312 E MAIN - PO BOX 422
    TALENT, OR
    ZIP 97540
  • Facility Phone: (541) 535-9108
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAX E TENSCHER
  • NPI Number: 1629410162
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D0628069
LAB Type Physician Office
Facility Name TALENT CLINIC LLC LABORATORY
Street 312 E MAIN - PO BOX 422
City TALENT
State OR
ZIP 97540
Phone 5415359108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2026
Certificate Expiration Date 12/31/2027
Facility Type Physician Office
Lab Director MAX E TENSCHER

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This page was last updated on: 5/18/2026