38D0677828 CLIA NUMBER - NORTH RIVER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 38D0677828
  • Facility Name: NORTH RIVER PEDIATRICS
  • Facility Address: 3369 NE STEPHENS ST STE 100
    ROSEBURG, OR
    ZIP 97470
  • Facility Phone: 541 677-6116
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BETH GALLANT
  • NPI Number: 1447421250
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D0677828
LAB Type Physician Office
Facility Name NORTH RIVER PEDIATRICS
Street 3369 NE STEPHENS ST STE 100
City ROSEBURG
State OR
ZIP 97470
Phone 541 677-6116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director BETH GALLANT

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