38D0953442 CLIA NUMBER - NW UROLOGY, LLC

Laboratory Demographics

  • CLIA Code: 38D0953442
  • Facility Name: NW UROLOGY, LLC
  • Facility Address: 2435 NE CUMULUS AVE SUITE E
    MCMINNVILLE, OR
    ZIP 97128
  • Facility Phone: 503 435-2561
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID STANECK
  • NPI Number: 1629461397
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 38D0953442
LAB Type Physician Office
Facility Name NW UROLOGY, LLC
Street 2435 NE CUMULUS AVE SUITE E
City MCMINNVILLE
State OR
ZIP 97128
Phone 503 435-2561
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 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director DAVID STANECK

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