38D2052869 CLIA NUMBER - LUTHERAN COMMUNITY SERVICES NORTHWEST

Laboratory Demographics

  • CLIA Code: 38D2052869
  • Facility Name: LUTHERAN COMMUNITY SERVICES NORTHWEST
  • Facility Address: 2545 N ELDORADO
    KLAMATH FALLS, OR
    ZIP 97603
  • Facility Phone: 541 883-3471
  • Facility Type: Other - AD & MH TREATMNT AG
  • Facility Type: Waiver
  • Lab Director: BOB PICKEL
  • NPI Number: 1720105489
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2052869
LAB Type Other - AD & MH TREATMNT AG
Facility Name LUTHERAN COMMUNITY SERVICES NORTHWEST
Street 2545 N ELDORADO
City KLAMATH FALLS
State OR
ZIP 97603
Phone 541 883-3471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Other - AD & MH TREATMNT AG
Lab Director BOB PICKEL

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