38D2123562 CLIA NUMBER - SOUTHERN OREGON SPINE + REHAB

Laboratory Demographics

  • CLIA Code: 38D2123562
  • Facility Name: SOUTHERN OREGON SPINE + REHAB
  • Facility Address: 1800 E PINE STREET
    CENTRAL POINT, OR
    ZIP 97502
  • Facility Phone: 541 664-5253
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HEIDI HENSON-DUNLAP
  • NPI Number: 1437527884
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 38D2123562
LAB Type Practitioner Other
Facility Name SOUTHERN OREGON SPINE + REHAB
Street 1800 E PINE STREET
City CENTRAL POINT
State OR
ZIP 97502
Phone 541 664-5253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Practitioner Other
Lab Director HEIDI HENSON-DUNLAP

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