38D2166313 CLIA NUMBER - OREGON VASCULAR SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 38D2166313
  • Facility Name: OREGON VASCULAR SPECIALISTS LLC
  • Facility Address: 1550 NE 27TH STREET, SUITE 100
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 313-8111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAYNE NELSON
  • NPI Number: 1669917167
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 38D2166313
LAB Type Physician Office
Facility Name OREGON VASCULAR SPECIALISTS LLC
Street 1550 NE 27TH STREET, SUITE 100
City BEND
State OR
ZIP 97701
Phone 541 313-8111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director WAYNE NELSON

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