38D2156254 CLIA NUMBER - CASCADE MEDICAL IMAGING LLC

Laboratory Demographics

  • CLIA Code: 38D2156254
  • Facility Name: CASCADE MEDICAL IMAGING LLC
  • Facility Address: 384 SE COMBS FLAT ROAD
    PRINEVILLE, OR
    ZIP 97754
  • Facility Phone: 541 382-6633
  • Facility Type: Other - IMAGING DEPT
  • Facility Type: Waiver
  • Lab Director: DR. LAURIE A. MARTIN
  • NPI Number: 1194994145
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2156254
LAB Type Other - IMAGING DEPT
Facility Name CASCADE MEDICAL IMAGING LLC
Street 384 SE COMBS FLAT ROAD
City PRINEVILLE
State OR
ZIP 97754
Phone 541 382-6633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Other - IMAGING DEPT
Lab Director DR. LAURIE A. MARTIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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