38D2102603 CLIA NUMBER - PRIYA J CARDEN MD LLC

Laboratory Demographics

CLIA Number: 38D2102603

Facility Name: PRIYA J CARDEN MD LLC

Facility Address:
1161 LINCOLN STREET
EUGENE, OR
ZIP 97401
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Facility Phone Number: 541 313-6530

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982070025

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 38D2102603
LAB Type Physician Office
Facility Name PRIYA J CARDEN MD LLC
Street 1161 LINCOLN STREET
City EUGENE
State OR
ZIP 97401
Phone 541 313-6530
CertificateType 4
CertificateEffectiveDate 9/25/2023
CertificateExpirationDate 9/24/2025
FacilityType Waiver

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