38D2264540 CLIA NUMBER - ROGUE VALLEY UROLOGY, PC

Laboratory Demographics

  • CLIA Code: 38D2264540
  • Facility Name: ROGUE VALLEY UROLOGY, PC
  • Facility Address: 431 NE REVERE AVE, STE 200
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 508-7973
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW D. NEEB
  • NPI Number: 1467421404
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 38D2264540
LAB Type Physician Office
Facility Name ROGUE VALLEY UROLOGY, PC
Street 431 NE REVERE AVE, STE 200
City BEND
State OR
ZIP 97701
Phone 541 508-7973
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director ANDREW D. NEEB

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This page was last updated on: 3/20/2025