38D2047914 CLIA NUMBER - M-CARE

Laboratory Demographics

  • CLIA Code: 38D2047914
  • Facility Name: M-CARE
  • Facility Address: 648 CHETCO AVENUE
    BROOKINGS, OR
    ZIP 97415
  • Facility Phone: 541 813-1797
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM E MCDOUGALL DO
  • NPI Number: 1649544784
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2047914
LAB Type Physician Office
Facility Name M-CARE
Street 648 CHETCO AVENUE
City BROOKINGS
State OR
ZIP 97415
Phone 541 813-1797
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 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director WILLIAM E MCDOUGALL DO

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