38D2078471 CLIA NUMBER - VISION SURGERY AND LASER CENTER

Laboratory Demographics

  • CLIA Code: 38D2078471
  • Facility Name: VISION SURGERY AND LASER CENTER
  • Facility Address: 2435 NW KLINE STREET
    ROSEBURG, OR
    ZIP 97471
  • Facility Phone: 541 673-8182
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BALAMURALI AMBATI
  • NPI Number: 1053353359
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2078471
LAB Type Ambulatory Surgery Center
Facility Name VISION SURGERY AND LASER CENTER
Street 2435 NW KLINE STREET
City ROSEBURG
State OR
ZIP 97471
Phone 541 673-8182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Ambulatory Surgery Center
Lab Director BALAMURALI AMBATI

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