38D2251705 CLIA NUMBER - PACIFIC CARDIOVASCULAR SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 38D2251705
  • Facility Name: PACIFIC CARDIOVASCULAR SURGERY CENTER
  • Facility Address: 550 HAWTHORNE AVE, STE 150
    SALEM, OR
    ZIP 97301
  • Facility Phone: 971 707-4525
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAGHUNANDAN KAMINENI
  • NPI Number: 1740946128
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2251705
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC CARDIOVASCULAR SURGERY CENTER
Street 550 HAWTHORNE AVE, STE 150
City SALEM
State OR
ZIP 97301
Phone 971 707-4525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Ambulatory Surgery Center
Lab Director RAGHUNANDAN KAMINENI

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