38D2078836 CLIA NUMBER - ORCHID OAKRIDGE CLINIC PC

Laboratory Demographics

  • CLIA Code: 38D2078836
  • Facility Name: ORCHID OAKRIDGE CLINIC PC
  • Facility Address: 47815 HIGHWAY 58
    OAKRIDGE, OR
    ZIP 97463
  • Facility Phone: 541 728-8242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTY GRASMEDER
  • NPI Number: 1588088983
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2078836
LAB Type Physician Office
Facility Name ORCHID OAKRIDGE CLINIC PC
Street 47815 HIGHWAY 58
City OAKRIDGE
State OR
ZIP 97463
Phone 541 728-8242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director MARTY GRASMEDER

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This page was last updated on: 3/20/2025