38D0666834 CLIA NUMBER - ROGUE COMMUNITY HEALTH

Laboratory Demographics

CLIA Number: 38D0666834

Facility Name: ROGUE COMMUNITY HEALTH

Facility Address:
11160 HWY 62
EAGLE POINT, OR
ZIP 97524
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Facility Phone Number: 541 773-3863

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1326716424

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D0666834
LAB Type	Community Clinic
Facility Name	ROGUE COMMUNITY HEALTH
Street	11160 HWY 62
City	EAGLE POINT
State	OR
ZIP	97524
Phone	541 773-3863
CertificateType	4
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024