38D2060884 CLIA NUMBER - HIGH DESERT HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 38D2060884
  • Facility Name: HIGH DESERT HOSPICE, LLC
  • Facility Address: 2210 SHALLOCK AVE
    KLAMATH FALLS, OR
    ZIP 97601
  • Facility Phone: 541 882-1636
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MATTHEW EDMONDS
  • NPI Number: 1033191440
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 38D2060884
LAB Type Hospice
Facility Name HIGH DESERT HOSPICE, LLC
Street 2210 SHALLOCK AVE
City KLAMATH FALLS
State OR
ZIP 97601
Phone 541 882-1636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Hospice
Lab Director MATTHEW EDMONDS

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