38D1053081 CLIA NUMBER - KIDSDOCS, PC

Laboratory Demographics

  • CLIA Code: 38D1053081
  • Facility Name: KIDSDOCS, PC
  • Facility Address: 272 NW MEDICAL LOOP UNIT B
    ROSEBURG, OR
    ZIP 97471
  • Facility Phone: 541 957-5437
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACQUELYN O. GROSHONG
  • NPI Number: 1003982281
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1053081
LAB Type Physician Office
Facility Name KIDSDOCS, PC
Street 272 NW MEDICAL LOOP UNIT B
City ROSEBURG
State OR
ZIP 97471
Phone 541 957-5437
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 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director JACQUELYN O. GROSHONG

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