38D2003120 CLIA NUMBER - ROGUE VALLEY SURGERY CTR

Laboratory Demographics

  • CLIA Code: 38D2003120
  • Facility Name: ROGUE VALLEY SURGERY CTR
  • Facility Address: 1411 E MCANDREWS RD
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 773-1435
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHAWN SILLS
  • NPI Number: 1336479021
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2003120
LAB Type Ambulatory Surgery Center
Facility Name ROGUE VALLEY SURGERY CTR
Street 1411 E MCANDREWS RD
City MEDFORD
State OR
ZIP 97504
Phone 541 773-1435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Ambulatory Surgery Center
Lab Director SHAWN SILLS

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