38D2075160 CLIA NUMBER - ILLINOIS VALLEY HIGH SCHOOL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 38D2075160
  • Facility Name: ILLINOIS VALLEY HIGH SCHOOL HEALTH CLINIC
  • Facility Address: 625 E RIVER ST
    CAVE JUNCTION, OR
    ZIP 97523
  • Facility Phone: 541 592-3749
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: LISA EDWARDS
  • NPI Number: 1871838391
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 38D2075160
LAB Type School/Student Health Service
Facility Name ILLINOIS VALLEY HIGH SCHOOL HEALTH CLINIC
Street 625 E RIVER ST
City CAVE JUNCTION
State OR
ZIP 97523
Phone 541 592-3749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type School/Student Health Service
Lab Director LISA EDWARDS

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