38D2108029 CLIA NUMBER - AFFORDABLE INTEGRATED MEDICINE

Laboratory Demographics

  • CLIA Code: 38D2108029
  • Facility Name: AFFORDABLE INTEGRATED MEDICINE
  • Facility Address: 610 W NORTH ST #B
    ENTERPRISE, OR
    ZIP 97828
  • Facility Phone: 541 426-9355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BILLIE J KASKA-SUTO FNP-C
  • NPI Number: 1528424215
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2108029
LAB Type Physician Office
Facility Name AFFORDABLE INTEGRATED MEDICINE
Street 610 W NORTH ST #B
City ENTERPRISE
State OR
ZIP 97828
Phone 541 426-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director BILLIE J KASKA-SUTO FNP-C

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