38D0964906 CLIA NUMBER - RENAL CARE CONSULTANTS, PC

Laboratory Demographics

  • CLIA Code: 38D0964906
  • Facility Name: RENAL CARE CONSULTANTS, PC
  • Facility Address: 760 GOLF VIEW DRIVE, UNIT 200
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: (541) 618-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KUMAR PANNAGASAYANAM DINESH
  • NPI Number: 1740344597
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0964906
LAB Type Physician Office
Facility Name RENAL CARE CONSULTANTS, PC
Street 760 GOLF VIEW DRIVE, UNIT 200
City MEDFORD
State OR
ZIP 97504
Phone 5416184400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2025
Certificate Expiration Date 11/29/2027
Facility Type Physician Office
Lab Director KUMAR PANNAGASAYANAM DINESH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026