38D1076844 CLIA NUMBER - CASCADE EAST FAMILY PRACTICE CENTER

Laboratory Demographics

  • CLIA Code: 38D1076844
  • Facility Name: CASCADE EAST FAMILY PRACTICE CENTER
  • Facility Address: 2821 DAGGETT AVE, SUITE 100
    KLAMATH FALLS, OR
    ZIP 97601
  • Facility Phone: 541 274-6733
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ROBERT JACKMAN MD
  • NPI Number: 1669658878
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 38D1076844
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CASCADE EAST FAMILY PRACTICE CENTER
Street 2821 DAGGETT AVE, SUITE 100
City KLAMATH FALLS
State OR
ZIP 97601
Phone 541 274-6733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ROBERT JACKMAN MD

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