38D2220907 CLIA NUMBER - ALLCARE MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 38D2220907
  • Facility Name: ALLCARE MEDICAL GROUP, LLC
  • Facility Address: 101 1ST STREET
    GLENDALE, OR
    ZIP 97442
  • Facility Phone: 541 471-4106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD WILLIAMS MD
  • NPI Number: 1699360412
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2220907
LAB Type Physician Office
Facility Name ALLCARE MEDICAL GROUP, LLC
Street 101 1ST STREET
City GLENDALE
State OR
ZIP 97442
Phone 541 471-4106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director RICHARD WILLIAMS MD

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