38D0997171 CLIA NUMBER - KRISTINE GROSKOPP DO

Laboratory Demographics

  • CLIA Code: 38D0997171
  • Facility Name: KRISTINE GROSKOPP DO
  • Facility Address: 800 EAST MAIN
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 608-7683
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KRISTINE A. GROSKOPP DO
  • NPI Number: 1164446829
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0997171
LAB Type Physician Office
Facility Name KRISTINE GROSKOPP DO
Street 800 EAST MAIN
City MEDFORD
State OR
ZIP 97504
Phone 541 608-7683
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 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director KRISTINE A. GROSKOPP DO

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