38D2077509 CLIA NUMBER - ASHLAND INTEGRATIVE CARE

Laboratory Demographics

  • CLIA Code: 38D2077509
  • Facility Name: ASHLAND INTEGRATIVE CARE
  • Facility Address: 850 SISKIYOU BLVD #1
    ASHLAND, OR
    ZIP 97520
  • Facility Phone: 541 201-3173
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOANN GRUBER FNP
  • NPI Number: 1659429249
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2077509
LAB Type Practitioner Other
Facility Name ASHLAND INTEGRATIVE CARE
Street 850 SISKIYOU BLVD #1
City ASHLAND
State OR
ZIP 97520
Phone 541 201-3173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Practitioner Other
Lab Director JOANN GRUBER FNP

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