38D2235642 CLIA NUMBER - ONTRACK ROGUE VALLEY

Laboratory Demographics

  • CLIA Code: 38D2235642
  • Facility Name: ONTRACK ROGUE VALLEY
  • Facility Address: 300 W MAIN ST
    MEDFORD, OR
    ZIP 97501
  • Facility Phone: 541 772-1777
  • Facility Type: Other - A&D INPATIENT AND OUTPATI
  • Facility Type: Waiver
  • Lab Director: SOMMER WOLCOTT MS LPC CRC
  • NPI Number: 1881685097
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 38D2235642
LAB Type Other - A&D INPATIENT AND OUTPATI
Facility Name ONTRACK ROGUE VALLEY
Street 300 W MAIN ST
City MEDFORD
State OR
ZIP 97501
Phone 541 772-1777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Other - A&D INPATIENT AND OUTPATI
Lab Director SOMMER WOLCOTT MS LPC CRC

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