38D1089235 CLIA NUMBER - RIVERBEND AMBULATORY SURGERY CTR LLC

Laboratory Demographics

  • CLIA Code: 38D1089235
  • Facility Name: RIVERBEND AMBULATORY SURGERY CTR LLC
  • Facility Address: 3355 RIVERBEND DRIVE STE 110
    SPRINGFIELD, OR
    ZIP 97477
  • Facility Phone: 541 852-4800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KELLI COELHO RN
  • NPI Number: 1386933034
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1089235
LAB Type Ambulatory Surgery Center
Facility Name RIVERBEND AMBULATORY SURGERY CTR LLC
Street 3355 RIVERBEND DRIVE STE 110
City SPRINGFIELD
State OR
ZIP 97477
Phone 541 852-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Ambulatory Surgery Center
Lab Director KELLI COELHO RN

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