CLIA lab

CLIA 38D2333253: Ip Roseburg 1

Roseburg, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 38D2333253 belongs to Ip Roseburg 1 in Roseburg, OR.

Certificate of Waiver, effective October 31, 2025, expires October 30, 2027.

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
October 31, 2025
Certificate expiration
October 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 31, 2025
Facility type
Independent
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
38D2333253
Lab name
Ip Roseburg 1
Address
2564 NW Edenbower Blvd, Ste 134, Roseburg, OR 97471
Phone
(541) 278-4730
Fax
(541) 429-4374

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Roseburg, OR

Related

Questions

What is the CLIA number for Ip Roseburg 1 in Roseburg?

38D2333253, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ip Roseburg 1 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D2333253 expire?

The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.

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