38D0705165 CLIA NUMBER - EUGENE SPRINGFIELD NEPHROLOGY ASSOC LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0705165
  • Facility Name: EUGENE SPRINGFIELD NEPHROLOGY ASSOC LABORATORY
  • Facility Address: 3355 RIVER BEND DR #200
    SPRINGFIELD, OR
    ZIP 97477
  • Facility Phone: 541 485-6478
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES R. ZACHEM
  • NPI Number: 1073534004
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0705165
LAB Type Physician Office
Facility Name EUGENE SPRINGFIELD NEPHROLOGY ASSOC LABORATORY
Street 3355 RIVER BEND DR #200
City SPRINGFIELD
State OR
ZIP 97477
Phone 541 485-6478
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director CHARLES R. ZACHEM

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