38D2163363 CLIA NUMBER - GRANTS PASS CBOC

Laboratory Demographics

  • CLIA Code: 38D2163363
  • Facility Name: GRANTS PASS CBOC
  • Facility Address: 1877 WILLIAMS HWY
    GRANTS PASS, OR
    ZIP 97527
  • Facility Phone: 541 951-5551
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ERIC GORANSON
  • NPI Number: 1760418032
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2163363
LAB Type Community Clinic
Facility Name GRANTS PASS CBOC
Street 1877 WILLIAMS HWY
City GRANTS PASS
State OR
ZIP 97527
Phone 541 951-5551
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/13/2019
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ERIC GORANSON

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