38D1016584 CLIA NUMBER - CENTER FOR SPECIALTY SURGERY

Laboratory Demographics

  • CLIA Code: 38D1016584
  • Facility Name: CENTER FOR SPECIALTY SURGERY
  • Facility Address: 11782 SW BARNES RD SUITE 200
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 503 906-4300
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TINA M. CASTER
  • NPI Number: 1609887413
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1016584
LAB Type Community Clinic
Facility Name CENTER FOR SPECIALTY SURGERY
Street 11782 SW BARNES RD SUITE 200
City PORTLAND
State OR
ZIP 97225
Phone 503 906-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Community Clinic
Lab Director TINA M. CASTER

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