38D0918526 CLIA NUMBER - LASER & SURGICAL EYE CENTER LLC

Laboratory Demographics

  • CLIA Code: 38D0918526
  • Facility Name: LASER & SURGICAL EYE CENTER LLC
  • Facility Address: 1333 E BARNETT ROAD ATTN RACHEL CUELLAR
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 858-4000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MATTHEW OLIVA
  • NPI Number: 1720156482
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0918526
LAB Type Ambulatory Surgery Center
Facility Name LASER & SURGICAL EYE CENTER LLC
Street 1333 E BARNETT ROAD ATTN RACHEL CUELLAR
City MEDFORD
State OR
ZIP 97504
Phone 541 858-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Ambulatory Surgery Center
Lab Director MATTHEW OLIVA

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