38D2253606 CLIA NUMBER - PACIFIC CREST INTEGRATIVE MEDICINE PC

Laboratory Demographics

  • CLIA Code: 38D2253606
  • Facility Name: PACIFIC CREST INTEGRATIVE MEDICINE PC
  • Facility Address: 595 N MAIN ST, STE 2
    ASHLAND, OR
    ZIP 97520
  • Facility Phone: 541 488-1116
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM P. POWELL
  • NPI Number: 1053084384
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2253606
LAB Type Physician Office
Facility Name PACIFIC CREST INTEGRATIVE MEDICINE PC
Street 595 N MAIN ST, STE 2
City ASHLAND
State OR
ZIP 97520
Phone 541 488-1116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director WILLIAM P. POWELL

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