38D2149897 CLIA NUMBER - BRIDGEVIEW SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 38D2149897
  • Facility Name: BRIDGEVIEW SURGERY CENTER
  • Facility Address: 1200 NW NAITO PKWY , SUITE 320
    PORTLAND, OR
    ZIP 97209
  • Facility Phone: 503 208-3404
  • Facility Type: Other - OFFICE BASED SURGERY CNTR
  • Facility Type: Waiver
  • Lab Director: AUSTIN G. HAYES
  • NPI Number: 1629666110
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 38D2149897
LAB Type Other - OFFICE BASED SURGERY CNTR
Facility Name BRIDGEVIEW SURGERY CENTER
Street 1200 NW NAITO PKWY , SUITE 320
City PORTLAND
State OR
ZIP 97209
Phone 503 208-3404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Other - OFFICE BASED SURGERY CNTR
Lab Director AUSTIN G. HAYES

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