38D0626694 CLIA NUMBER - CASCADE DERMATOLOGY AND AESTHETICS

Laboratory Demographics

  • CLIA Code: 38D0626694
  • Facility Name: CASCADE DERMATOLOGY AND AESTHETICS
  • Facility Address: 4765 VILLAGE PLAZA LOOP SUITE 100
    EUGENE, OR
    ZIP 97401
  • Facility Phone: 541 485-7546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BENJAMIN G. VAZQUEZ
  • NPI Number: 1245872357
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 38D0626694
LAB Type Physician Office
Facility Name CASCADE DERMATOLOGY AND AESTHETICS
Street 4765 VILLAGE PLAZA LOOP SUITE 100
City EUGENE
State OR
ZIP 97401
Phone 541 485-7546
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 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director BENJAMIN G. VAZQUEZ

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