CLIA lab
CLIA 38D2075164: Evergreen Elementary School Student HC
Cave Junction, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2075164 belongs to Evergreen Elementary School Student HC in Cave Junction, OR.
Certificate of Waiver, effective March 24, 2026, expires March 23, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 24, 2026
- Certificate expiration
- March 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 2014
- Facility type
- School or student health service
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D2075164
- Lab name
- Evergreen Elementary School Student HC
- Address
- 520 W River St, Cave Junction, OR 97523
- Phone
- (541) 592-6491
- Fax
- (541) 592-6489
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cave Junction, OR
- Allcare Medical Group, LLCCertificate of Waiver, Physician office38D2163061
- Illinois Valley High School Health ClinicCertificate of Waiver, School or student health service38D2075160
- Lorna Byrne Middle School Student Health CTRCertificate of Waiver, School or student health service38D2075157
- Siskiyou Community Health ClinicCertificate of Waiver, Federally qualified health center38D0656903
Related
Questions
What is the CLIA number for Evergreen Elementary School Student HC in Cave Junction?
38D2075164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Elementary School Student HC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2075164 expire?
The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.