38D1104702 CLIA NUMBER - THREE RIVERS HOMECARE LLC DBA THREE RIVERS HOMECARE

Laboratory Demographics

  • CLIA Code: 38D1104702
  • Facility Name: THREE RIVERS HOMECARE LLC DBA THREE RIVERS HOMECARE
  • Facility Address: 1867 WILLIAMS HWY, SUITE 109B
    GRANTS PASS, OR
    ZIP 97527
  • Facility Phone: 541 476-6224
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MELISSA RENFRO
  • NPI Number: 1396977393
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 38D1104702
LAB Type Home Health Agency
Facility Name THREE RIVERS HOMECARE LLC DBA THREE RIVERS HOMECARE
Street 1867 WILLIAMS HWY, SUITE 109B
City GRANTS PASS
State OR
ZIP 97527
Phone 541 476-6224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Home Health Agency
Lab Director MELISSA RENFRO

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