38D2263415 CLIA NUMBER - HOLMES FAMILY CARE

Laboratory Demographics

  • CLIA Code: 38D2263415
  • Facility Name: HOLMES FAMILY CARE
  • Facility Address: 2564 NW EDENBOWER BLVD, STE 126
    ROSEBURG, OR
    ZIP 97471
  • Facility Phone: 615 828-3011
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HEATHER HOLMES
  • NPI Number: 1972173235
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2263415
LAB Type Physician Office
Facility Name HOLMES FAMILY CARE
Street 2564 NW EDENBOWER BLVD, STE 126
City ROSEBURG
State OR
ZIP 97471
Phone 615 828-3011
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director HEATHER HOLMES

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