38D2067872 CLIA NUMBER - CASCADE ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 38D2067872
  • Facility Name: CASCADE ENDOSCOPY CENTER LLC
  • Facility Address: 1007 HARLOW ROAD SUITE 110
    SPRINGFIELD, OR
    ZIP 97477
  • Facility Phone: 541 726-8882
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HARRY H PARK MD
  • NPI Number: 1427028919
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2067872
LAB Type Ambulatory Surgery Center
Facility Name CASCADE ENDOSCOPY CENTER LLC
Street 1007 HARLOW ROAD SUITE 110
City SPRINGFIELD
State OR
ZIP 97477
Phone 541 726-8882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Ambulatory Surgery Center
Lab Director HARRY H PARK MD

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