38D2070918 CLIA NUMBER - PMG ASHLAND CLINIC

Laboratory Demographics

  • CLIA Code: 38D2070918
  • Facility Name: PMG ASHLAND CLINIC
  • Facility Address: 1661 HWY 99 NORTH SUITE 100
    ASHLAND, OR
    ZIP 97520
  • Facility Phone: 541 732-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA E. WALZ
  • NPI Number: 1174969778
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2070918
LAB Type Physician Office
Facility Name PMG ASHLAND CLINIC
Street 1661 HWY 99 NORTH SUITE 100
City ASHLAND
State OR
ZIP 97520
Phone 541 732-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director SARA E. WALZ

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