38D2314410 CLIA NUMBER - RISE DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 38D2314410
  • Facility Name: RISE DIRECT PRIMARY CARE
  • Facility Address: 814 E JACKSON ST, STE A
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 827-8603
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRETT K. BILLINGS
  • NPI Number: 1235024621
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2314410
LAB Type Practitioner Other
Facility Name RISE DIRECT PRIMARY CARE
Street 814 E JACKSON ST, STE A
City MEDFORD
State OR
ZIP 97504
Phone 541 827-8603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Practitioner Other
Lab Director BRETT K. BILLINGS

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