38D2314341 CLIA NUMBER - SOUTHERN OREGON FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 38D2314341
  • Facility Name: SOUTHERN OREGON FAMILY MEDICINE
  • Facility Address: 101 TWIN CREEKS CROSSING, STE A
    CENTRAL POINT, OR
    ZIP 97502
  • Facility Phone: 541 630-0225
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MONIQUE A. NOYES
  • NPI Number: 1487811667
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 38D2314341
LAB Type Practitioner Other
Facility Name SOUTHERN OREGON FAMILY MEDICINE
Street 101 TWIN CREEKS CROSSING, STE A
City CENTRAL POINT
State OR
ZIP 97502
Phone 541 630-0225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Practitioner Other
Lab Director MONIQUE A. NOYES

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