38D2114137 CLIA NUMBER - ADVANCED SKIN CENTER

Laboratory Demographics

  • CLIA Code: 38D2114137
  • Facility Name: ADVANCED SKIN CENTER
  • Facility Address: 1021 NE 6TH STREET
    GRANTS PASS, OR
    ZIP 97526
  • Facility Phone: 541 507-1881
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PAUL D. REICHERTER
  • NPI Number: 1366691875
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 38D2114137
LAB Type Physician Office
Facility Name ADVANCED SKIN CENTER
Street 1021 NE 6TH STREET
City GRANTS PASS
State OR
ZIP 97526
Phone 541 507-1881
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director DR. PAUL D. REICHERTER

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