38D1022465 CLIA NUMBER - OREGON OUTPATIENT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 38D1022465
  • Facility Name: OREGON OUTPATIENT SURGERY CENTER
  • Facility Address: 7300 SW CHILDS RD SUITE A
    TIGARD, OR
    ZIP 97224
  • Facility Phone: 503 612-8452
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES D. GRANT MD
  • NPI Number: 1124026745
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1022465
LAB Type Ambulatory Surgery Center
Facility Name OREGON OUTPATIENT SURGERY CENTER
Street 7300 SW CHILDS RD SUITE A
City TIGARD
State OR
ZIP 97224
Phone 503 612-8452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Ambulatory Surgery Center
Lab Director JAMES D. GRANT MD

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