38D0724553 CLIA NUMBER - ASANTE PHYSICIAN PARTNERS FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 38D0724553
  • Facility Name: ASANTE PHYSICIAN PARTNERS FAMILY MEDICINE
  • Facility Address: 1250 MIRA MAR AVE
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 857-7133
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES NUNN
  • NPI Number: 1922381326
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0724553
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASANTE PHYSICIAN PARTNERS FAMILY MEDICINE
Street 1250 MIRA MAR AVE
City MEDFORD
State OR
ZIP 97504
Phone 541 857-7133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAMES NUNN

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