38D0934315 CLIA NUMBER - REGINALD G WILLIAMS MD

Laboratory Demographics

  • CLIA Code: 38D0934315
  • Facility Name: REGINALD G WILLIAMS MD
  • Facility Address: 94180 SECOND STREET
    GOLD BEACH, OR
    ZIP 97444
  • Facility Phone: 541 247-7047
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: REGINALD G. WILLIAMS MD
  • NPI Number: 1225014632
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0934315
LAB Type Physician Office
Facility Name REGINALD G WILLIAMS MD
Street 94180 SECOND STREET
City GOLD BEACH
State OR
ZIP 97444
Phone 541 247-7047
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 REGINALD G. WILLIAMS MD

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