38D2165112 CLIA NUMBER - BEAR CREEK NATUROPATHIC CLINIC

Laboratory Demographics

  • CLIA Code: 38D2165112
  • Facility Name: BEAR CREEK NATUROPATHIC CLINIC
  • Facility Address: 2612 E BARNETT ROAD
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 770-5563
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORY S. TICHAUER
  • NPI Number: 1174785869
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 38D2165112
LAB Type Physician Office
Facility Name BEAR CREEK NATUROPATHIC CLINIC
Street 2612 E BARNETT ROAD
City MEDFORD
State OR
ZIP 97504
Phone 541 770-5563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director CORY S. TICHAUER

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