38D0943049 CLIA NUMBER - GRANTS PASS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 38D0943049
  • Facility Name: GRANTS PASS SURGERY CENTER
  • Facility Address: 1601 NW HAWTHORNE AVE
    GRANTS PASS, OR
    ZIP 97526
  • Facility Phone: 541 472-4880
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT T. BENTS
  • NPI Number: 1861492530
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0943049
LAB Type Ambulatory Surgery Center
Facility Name GRANTS PASS SURGERY CENTER
Street 1601 NW HAWTHORNE AVE
City GRANTS PASS
State OR
ZIP 97526
Phone 541 472-4880
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 ROBERT T. BENTS

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