38D2156760 CLIA NUMBER - ADVANCED VASCULAR CENTERS

Laboratory Demographics

  • CLIA Code: 38D2156760
  • Facility Name: ADVANCED VASCULAR CENTERS
  • Facility Address: 6958 SW VARNS STREET
    PORTLAND, OR
    ZIP 97223
  • Facility Phone: 503 683-7730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY M. COSTANTINO
  • NPI Number: 1255091955
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 38D2156760
LAB Type Physician Office
Facility Name ADVANCED VASCULAR CENTERS
Street 6958 SW VARNS STREET
City PORTLAND
State OR
ZIP 97223
Phone 503 683-7730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director MARY M. COSTANTINO

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