38D1012584 CLIA NUMBER - CASCADE SPINE CENTER

Laboratory Demographics

  • CLIA Code: 38D1012584
  • Facility Name: CASCADE SPINE CENTER
  • Facility Address: 6464 BORLAND RD SUITE A-3
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: 971 404-3366
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT HEROS
  • NPI Number: 1801891668
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1012584
LAB Type Ambulatory Surgery Center
Facility Name CASCADE SPINE CENTER
Street 6464 BORLAND RD SUITE A-3
City TUALATIN
State OR
ZIP 97062
Phone 971 404-3366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Ambulatory Surgery Center
Lab Director ROBERT HEROS

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