38D2083722 CLIA NUMBER - CAREATC MEDFORD

Laboratory Demographics

  • CLIA Code: 38D2083722
  • Facility Name: CAREATC MEDFORD
  • Facility Address: 1101 W MAIN ST SUITE 102
    MEDFORD, OR
    ZIP 97501
  • Facility Phone: 918 779-7471
  • Facility Type: Other - HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: JENNIFER COTHRON
  • NPI Number: 1851942536
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2083722
LAB Type Other - HEALTH CENTER
Facility Name CAREATC MEDFORD
Street 1101 W MAIN ST SUITE 102
City MEDFORD
State OR
ZIP 97501
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Other - HEALTH CENTER
Lab Director JENNIFER COTHRON

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