38D0970240 CLIA NUMBER - RIVER ROAD SURGER CENTER, LLC

Laboratory Demographics

  • CLIA Code: 38D0970240
  • Facility Name: RIVER ROAD SURGER CENTER, LLC
  • Facility Address: 3099 RIVER ROAD SOUTH, SUITE 100
    SALEM, OR
    ZIP 97302
  • Facility Phone: 503 361-3094
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN S. DONOVAN
  • NPI Number: 1487620472
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0970240
LAB Type Ambulatory Surgery Center
Facility Name RIVER ROAD SURGER CENTER, LLC
Street 3099 RIVER ROAD SOUTH, SUITE 100
City SALEM
State OR
ZIP 97302
Phone 503 361-3094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN S. DONOVAN

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