38D2065895 CLIA NUMBER - ASANTE ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 38D2065895
  • Facility Name: ASANTE ENDOCRINOLOGY
  • Facility Address: 555 BLACK OAK DR SUITE 400
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 789-3091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN GALLEN
  • NPI Number: 1699426684
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2065895
LAB Type Physician Office
Facility Name ASANTE ENDOCRINOLOGY
Street 555 BLACK OAK DR SUITE 400
City MEDFORD
State OR
ZIP 97504
Phone 541 789-3091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director JOHN GALLEN

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