38D2100148 CLIA NUMBER - ICCO DBA BESTMED

Laboratory Demographics

CLIA Number: 38D2100148

Facility Name: ICCO DBA BESTMED

Facility Address:
2710 WILLAMETTE STREET
EUGENE, OR
ZIP 97405
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Facility Phone Number: 541 735-3161

Facility Type: Other - URGENT/PRIMARY CARE

Certificate Type: Waiver

NPI Number: 1235672478

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D2100148
LAB Type	Other - URGENT/PRIMARY CARE
Facility Name	ICCO DBA BESTMED
Street	2710 WILLAMETTE STREET
City	EUGENE
State	OR
ZIP	97405
Phone	541 735-3161
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024