38D2183157 CLIA NUMBER - ORTC, LLC DBA MEDFORD TREATMENT CENTER

Laboratory Demographics

CLIA Number: 38D2183157

Facility Name: ORTC, LLC DBA MEDFORD TREATMENT CENTER

Facility Address:
750 BIDDLE ROAD
MEDFORD, OR
ZIP 97504
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Facility Phone Number: 541 955-3210

Facility Type: Other - NARCOTIC TREATMENT PROGRA

Certificate Type: Waiver

NPI Number: 1427680057

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	38D2183157
LAB Type	Other - NARCOTIC TREATMENT PROGRA
Facility Name	ORTC, LLC DBA MEDFORD TREATMENT CENTER
Street	750 BIDDLE ROAD
City	MEDFORD
State	OR
ZIP	97504
Phone	541 955-3210
CertificateType	4
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Waiver

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