38D2061412 CLIA NUMBER - GRANTS PASS II

Laboratory Demographics

  • CLIA Code: 38D2061412
  • Facility Name: GRANTS PASS II
  • Facility Address: 1055 REDWOOD AVE
    GRANTS PASS, OR
    ZIP 97527
  • Facility Phone: 541 479-0545
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KUMAR DINESH
  • NPI Number: 1952740672
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2061412
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GRANTS PASS II
Street 1055 REDWOOD AVE
City GRANTS PASS
State OR
ZIP 97527
Phone 541 479-0545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KUMAR DINESH

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