38D2178333 CLIA NUMBER - MICHAEL M KIM, MD, PC DBA BRIDGE CITY SURGERY CENT

Laboratory Demographics

  • CLIA Code: 38D2178333
  • Facility Name: MICHAEL M KIM, MD, PC DBA BRIDGE CITY SURGERY CENT
  • Facility Address: 2525 NW LOVEJOY, #403
    PORTLAND, OR
    ZIP 97210
  • Facility Phone: 503 575-1910
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL M. KIM
  • NPI Number: 1689720468
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 38D2178333
LAB Type Ambulatory Surgery Center
Facility Name MICHAEL M KIM, MD, PC DBA BRIDGE CITY SURGERY CENT
Street 2525 NW LOVEJOY, #403
City PORTLAND
State OR
ZIP 97210
Phone 503 575-1910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL M. KIM

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