38D2039482 CLIA NUMBER - VALLEY PLASTIC SURGERY, LLC

Laboratory Demographics

  • CLIA Code: 38D2039482
  • Facility Name: VALLEY PLASTIC SURGERY, LLC
  • Facility Address: 280 S PACIFIC HWY
    TALENT, OR
    ZIP 97540
  • Facility Phone: 541 500-4199
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALEXIS A. TRACY
  • NPI Number: 1124396544
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2039482
LAB Type Ambulatory Surgery Center
Facility Name VALLEY PLASTIC SURGERY, LLC
Street 280 S PACIFIC HWY
City TALENT
State OR
ZIP 97540
Phone 541 500-4199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Ambulatory Surgery Center
Lab Director ALEXIS A. TRACY

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