38D2081601 CLIA NUMBER - ASHLAND SURGERY CENTER

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Laboratory Demographics

CLIA Number: 38D2081601

Facility Name: ASHLAND SURGERY CENTER

Facility Address:
658 N MAIN ST
ASHLAND, OR
ZIP 97520
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Facility Phone Number: 541 482-5518

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1508986621

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D2081601
LAB Type	Ambulatory Surgery Center
Facility Name	ASHLAND SURGERY CENTER
Street	658 N MAIN ST
City	ASHLAND
State	OR
ZIP	97520
Phone	541 482-5518
CertificateType	4
CertificateEffectiveDate	7/28/2022
CertificateExpirationDate	7/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024