38D2309984 CLIA NUMBER - RESOLUTE INTEGRATIVE HEALTH LLC

Laboratory Demographics

  • CLIA Code: 38D2309984
  • Facility Name: RESOLUTE INTEGRATIVE HEALTH LLC
  • Facility Address: 216 E MAIN ST
    ROGUE RIVER, OR
    ZIP 97537
  • Facility Phone: 458 244-8090
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: HEATHER M. FRIEND
  • NPI Number: 1508750860
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2309984
LAB Type Practitioner Other
Facility Name RESOLUTE INTEGRATIVE HEALTH LLC
Street 216 E MAIN ST
City ROGUE RIVER
State OR
ZIP 97537
Phone 458 244-8090
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 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Practitioner Other
Lab Director HEATHER M. FRIEND

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