38D2167367 CLIA NUMBER - KLAMATH HEALTH PARTNERSHIP - MAZAMA SCHOOL - BASED HEALTH CTR

Laboratory Demographics

CLIA Number: 38D2167367

Facility Name: KLAMATH HEALTH PARTNERSHIP - MAZAMA SCHOOL - BASED HEALTH CTR

Facility Address:
3013 SUMMERS LANE
KLAMATH FALLS, OR
ZIP 97603
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Facility Phone Number: 541 887-8189

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1548999667

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D2167367
LAB Type	Federally Qualified Health Center
Facility Name	KLAMATH HEALTH PARTNERSHIP - MAZAMA SCHOOL - BASED HEALTH CTR
Street	3013 SUMMERS LANE
City	KLAMATH FALLS
State	OR
ZIP	97603
Phone	541 887-8189
CertificateType	3
CertificateEffectiveDate	9/1/2023
CertificateExpirationDate	8/31/2025
FacilityType	PPMP

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