38D0988128 CLIA NUMBER - VA SOUTHERN OREGON REHABILITATION CENTER & CLINIC

Laboratory Demographics

  • CLIA Code: 38D0988128
  • Facility Name: VA SOUTHERN OREGON REHABILITATION CENTER & CLINIC
  • Facility Address: 8495 CARTER LAKE HWY BLDG 201
    WHITE CITY, OR
    ZIP 97503
  • Facility Phone: 540 826-2111
  • Facility Type: Other
  • Facility Type: Accreditation
  • Lab Director: ERIC GORANSON
  • NPI Number: 1124198999
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D0988128
LAB Type Other
Facility Name VA SOUTHERN OREGON REHABILITATION CENTER & CLINIC
Street 8495 CARTER LAKE HWY BLDG 201
City WHITE CITY
State OR
ZIP 97503
Phone 540 826-2111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/21/2001
Certificate Expiration Date 5/22/2026
Facility Type Other
Lab Director ERIC GORANSON

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