38D2045177 CLIA NUMBER - JOSEPHINE COUNTY(OR) DBA JOSEPHINE COUNTY JAIL CLINIC

Laboratory Demographics

  • CLIA Code: 38D2045177
  • Facility Name: JOSEPHINE COUNTY(OR) DBA JOSEPHINE COUNTY JAIL CLINIC
  • Facility Address: 1901 NE F STREET
    GRANTS PASS, OR
    ZIP 97526
  • Facility Phone: 541 474-5142
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DAVID D. CANDELARIA
  • NPI Number: 1700493319
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 38D2045177
LAB Type Prison
Facility Name JOSEPHINE COUNTY(OR) DBA JOSEPHINE COUNTY JAIL CLINIC
Street 1901 NE F STREET
City GRANTS PASS
State OR
ZIP 97526
Phone 541 474-5142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Prison
Lab Director DAVID D. CANDELARIA

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