38D1031128 CLIA NUMBER - OREGON SURGICENTER

Laboratory Demographics

  • CLIA Code: 38D1031128
  • Facility Name: OREGON SURGICENTER
  • Facility Address: 2400 HARTMAN LANE SUITE 300
    SPRINGFIELD, OR
    ZIP 97477
  • Facility Phone: 541 343-1603
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK R. CARSON
  • NPI Number: 1295738375
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1031128
LAB Type Ambulatory Surgery Center
Facility Name OREGON SURGICENTER
Street 2400 HARTMAN LANE SUITE 300
City SPRINGFIELD
State OR
ZIP 97477
Phone 541 343-1603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Ambulatory Surgery Center
Lab Director MARK R. CARSON

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