38D2199671 CLIA NUMBER - QUALITY LIFE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 38D2199671
  • Facility Name: QUALITY LIFE FAMILY PRACTICE
  • Facility Address: 1201 NE 7TH STREET, STE E
    GRANTS PASS, OR
    ZIP 97526
  • Facility Phone: (541) 314-4894
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARLENA R. PIKE
  • NPI Number: 1689279184
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2199671
LAB Type Physician Office
Facility Name QUALITY LIFE FAMILY PRACTICE
Street 1201 NE 7TH STREET, STE E
City GRANTS PASS
State OR
ZIP 97526
Phone 5413144894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director DARLENA R. PIKE

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This page was last updated on: 6/29/2026