38D1000455 CLIA NUMBER - NORTHERN PACIFIC DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 38D1000455
  • Facility Name: NORTHERN PACIFIC DIAGNOSTICS
  • Facility Address: 2865 DAGGETT AVE ATTN ROSEMARY GRAY POC COORDINATOR
    KLAMATH FALLS, OR
    ZIP 97601
  • Facility Phone: 541 882-6311
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: MIGUEL A. MONTES MD
  • NPI Number: 1396837340
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 38D1000455
LAB Type Independent
Facility Name NORTHERN PACIFIC DIAGNOSTICS
Street 2865 DAGGETT AVE ATTN ROSEMARY GRAY POC COORDINATOR
City KLAMATH FALLS
State OR
ZIP 97601
Phone 541 882-6311
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 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Independent
Lab Director MIGUEL A. MONTES MD

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