38D2177566 CLIA NUMBER - ALLCARE PACE

Laboratory Demographics

CLIA Code: 38D2177566
Facility Name: ALLCARE PACE
Facility Address: 2166 NW VINE STREET
GRANTS PASS, OR
ZIP 97526
Facility Phone: 541 474-8000
Facility Type: Other - PACE CENTER
Facility Type: Waiver
Lab Director: ROBERT ANTHONY
NPI Number: 1659997757
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	38D2177566
LAB Type	Other - PACE CENTER
Facility Name	ALLCARE PACE
Street	2166 NW VINE STREET
City	GRANTS PASS
State	OR
ZIP	97526
Phone	541 474-8000
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/14/2024
Certificate Expiration Date	1/13/2026
Facility Type	Other - PACE CENTER
Lab Director	ROBERT ANTHONY

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