38D1031129 CLIA NUMBER - OREGON CLINIC ENDOSCOPY CENTER-WEST, THE

Laboratory Demographics

  • CLIA Code: 38D1031129
  • Facility Name: OREGON CLINIC ENDOSCOPY CENTER-WEST, THE
  • Facility Address: 9701 SW BARNES RD SUITE 310
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 503 297-8081
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SHANNON LEWIS
  • NPI Number: 1215586102
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 38D1031129
LAB Type Ambulatory Surgery Center
Facility Name OREGON CLINIC ENDOSCOPY CENTER-WEST, THE
Street 9701 SW BARNES RD SUITE 310
City PORTLAND
State OR
ZIP 97225
Phone 503 297-8081
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 DR. SHANNON LEWIS

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