38D2198475 CLIA NUMBER - ROXYANN DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 38D2198475
  • Facility Name: ROXYANN DERMATOLOGY LLC
  • Facility Address: 3210 HILLCREST PARK DR SUITE 100
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 772-0278
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JERI K. MENDELSON
  • NPI Number: 1699392985
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 38D2198475
LAB Type Physician Office
Facility Name ROXYANN DERMATOLOGY LLC
Street 3210 HILLCREST PARK DR SUITE 100
City MEDFORD
State OR
ZIP 97504
Phone 541 772-0278
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director DR. JERI K. MENDELSON

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