38D2214213 CLIA NUMBER - ADAPT INTEGRATED HEALTH CARE PRIMARY CARE-WINSTON

Laboratory Demographics

CLIA Number: 38D2214213

Facility Name: ADAPT INTEGRATED HEALTH CARE PRIMARY CARE-WINSTON

Facility Address:
671 SW MAIN ST
WINSTON, OR
ZIP 97496
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Facility Phone Number: 541 492-4550

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1750975553

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 38D2214213
LAB Type Federally Qualified Health Center
Facility Name ADAPT INTEGRATED HEALTH CARE PRIMARY CARE-WINSTON
Street 671 SW MAIN ST
City WINSTON
State OR
ZIP 97496
Phone 541 492-4550
CertificateType 4
CertificateEffectiveDate 2/19/2023
CertificateExpirationDate 2/18/2025
FacilityType Waiver

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