38D2142113 CLIA NUMBER - WEST END SURGICAL DBA OREGON SURGICAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 38D2142113
  • Facility Name: WEST END SURGICAL DBA OREGON SURGICAL INSTITUTE
  • Facility Address: 9405 SW NIMBUS AVE
    BEAVERTON, OR
    ZIP 97008
  • Facility Phone: 971 708-0400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAYMIE VOLL
  • NPI Number: 1962920751
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2142113
LAB Type Ambulatory Surgery Center
Facility Name WEST END SURGICAL DBA OREGON SURGICAL INSTITUTE
Street 9405 SW NIMBUS AVE
City BEAVERTON
State OR
ZIP 97008
Phone 971 708-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Ambulatory Surgery Center
Lab Director JAYMIE VOLL

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