38D1035054 CLIA NUMBER - CASCADE SURGICENTER LLC

Laboratory Demographics

  • CLIA Code: 38D1035054
  • Facility Name: CASCADE SURGICENTER LLC
  • Facility Address: 2200 NE NEFF RD SUITE 100
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 322-2395
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. COE
  • NPI Number: 1669437497
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1035054
LAB Type Ambulatory Surgery Center
Facility Name CASCADE SURGICENTER LLC
Street 2200 NE NEFF RD SUITE 100
City BEND
State OR
ZIP 97701
Phone 541 322-2395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL R. COE

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