38D2264540 CLIA NUMBER - CASCADE LAKES UROLOGY, LIMITED LIABILITY COMPANY

Laboratory Demographics

  • CLIA Code: 38D2264540
  • Facility Name: CASCADE LAKES UROLOGY, LIMITED LIABILITY COMPANY
  • Facility Address: 431 NE REVERE AVENUE, SUITE #200
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 508-7973
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • 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 CASCADE LAKES UROLOGY, LIMITED LIABILITY COMPANY
Street 431 NE REVERE AVENUE, SUITE #200
City BEND
State OR
ZIP 97701
Phone 541 508-7973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director ANDREW D. NEEB

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