38D1076442 CLIA NUMBER - CASCADE MEDICAL IMAGING LLC

Laboratory Demographics

  • CLIA Code: 38D1076442
  • Facility Name: CASCADE MEDICAL IMAGING LLC
  • Facility Address: 1253 NW CANAL BLVD
    REDMOND, OR
    ZIP 97756
  • Facility Phone: 541 526-6688
  • Facility Type: Other - OUTPATIENT IMAGING FACILI
  • Facility Type: Waiver
  • Lab Director: DR. LAURIE A. MARTIN MD
  • NPI Number: 1700318755
  • Taxonomy: 164W00000X - Licensed Practical Nurse

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CLIA Record

Field Name Field Value
CLIA Number 38D1076442
LAB Type Other - OUTPATIENT IMAGING FACILI
Facility Name CASCADE MEDICAL IMAGING LLC
Street 1253 NW CANAL BLVD
City REDMOND
State OR
ZIP 97756
Phone 541 526-6688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Other - OUTPATIENT IMAGING FACILI
Lab Director DR. LAURIE A. MARTIN MD

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