38D2168399 CLIA NUMBER - SISKIYOU DIALYSIS

Laboratory Demographics

  • CLIA Code: 38D2168399
  • Facility Name: SISKIYOU DIALYSIS
  • Facility Address: 50 ROSSANLEY DRIVE
    MEDFORD, OR
    ZIP 97501
  • Facility Phone: 541 414-2437
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARIA JOANA A. THOMAS
  • NPI Number: 1265993620
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2168399
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SISKIYOU DIALYSIS
Street 50 ROSSANLEY DRIVE
City MEDFORD
State OR
ZIP 97501
Phone 541 414-2437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARIA JOANA A. THOMAS

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