38D0684021 CLIA NUMBER - RHEUMATOLOGY CLINIC

Laboratory Demographics

CLIA Number: 38D0684021

Facility Name: RHEUMATOLOGY CLINIC

Facility Address:
1365 POPLAR DRIVE
MEDFORD, OR
ZIP 97504
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Facility Phone Number: 541 773-2233

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1164746756

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	38D0684021
LAB Type	Physician Office
Facility Name	RHEUMATOLOGY CLINIC
Street	1365 POPLAR DRIVE
City	MEDFORD
State	OR
ZIP	97504
Phone	541 773-2233
CertificateType	1
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	Accreditation

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