38D2298070 CLIA NUMBER - ADVANCED AESTHETICS AND WELLNESS

Laboratory Demographics

  • CLIA Code: 38D2298070
  • Facility Name: ADVANCED AESTHETICS AND WELLNESS
  • Facility Address: 3150 S 6TH STREET
    KLAMATH FALLS, OR
    ZIP 97603
  • Facility Phone: 541 851-9008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC J. BRUNSWICK
  • NPI Number: 1902591134
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2298070
LAB Type Physician Office
Facility Name ADVANCED AESTHETICS AND WELLNESS
Street 3150 S 6TH STREET
City KLAMATH FALLS
State OR
ZIP 97603
Phone 541 851-9008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director ERIC J. BRUNSWICK

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