38D2040076 CLIA NUMBER - SUNSET SURGICAL CENTRE

Laboratory Demographics

  • CLIA Code: 38D2040076
  • Facility Name: SUNSET SURGICAL CENTRE
  • Facility Address: 15390 NW CORNELL RD STE 125
    BEAVERTON, OR
    ZIP 97006
  • Facility Phone: 503 601-2915
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. KIM CHI VA
  • NPI Number: 1053688036
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2040076
LAB Type Ambulatory Surgery Center
Facility Name SUNSET SURGICAL CENTRE
Street 15390 NW CORNELL RD STE 125
City BEAVERTON
State OR
ZIP 97006
Phone 503 601-2915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. KIM CHI VA

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