38D0628140 CLIA NUMBER - SANFORD CHILDREN'S KLAMATH FALLS

Laboratory Demographics

  • CLIA Code: 38D0628140
  • Facility Name: SANFORD CHILDREN'S KLAMATH FALLS
  • Facility Address: 3001 DAGGET STREET
    KLAMATH FALLS, OR
    ZIP 97601
  • Facility Phone: 541 851-4800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRINAGE EGBERT
  • NPI Number: 1720337504
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D0628140
LAB Type Physician Office
Facility Name SANFORD CHILDREN'S KLAMATH FALLS
Street 3001 DAGGET STREET
City KLAMATH FALLS
State OR
ZIP 97601
Phone 541 851-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director GRINAGE EGBERT

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