38D0934313 CLIA NUMBER - JITENDRA C PATEL MD

Laboratory Demographics

  • CLIA Code: 38D0934313
  • Facility Name: JITENDRA C PATEL MD
  • Facility Address: 97825 SHOPPING CENTER AVE
    BROOKINGS, OR
    ZIP 97415
  • Facility Phone: 541 412-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JITENDRA C. PATEL MD
  • NPI Number: 1588668230
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0934313
LAB Type Physician Office
Facility Name JITENDRA C PATEL MD
Street 97825 SHOPPING CENTER AVE
City BROOKINGS
State OR
ZIP 97415
Phone 541 412-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director JITENDRA C. PATEL MD

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This page was last updated on: 3/20/2025