38D1062487 CLIA NUMBER - NGC ENDOSCOPY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 38D1062487
  • Facility Name: NGC ENDOSCOPY SERVICES LLC
  • Facility Address: 1130 NW 22ND AVE SUITE 615
    PORTLAND, OR
    ZIP 97210
  • Facility Phone: 503 229-7195
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. SMITH
  • NPI Number: 1366529638
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1062487
LAB Type Ambulatory Surgery Center
Facility Name NGC ENDOSCOPY SERVICES LLC
Street 1130 NW 22ND AVE SUITE 615
City PORTLAND
State OR
ZIP 97210
Phone 503 229-7195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Ambulatory Surgery Center
Lab Director MATTHEW A. SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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