38D2268867 CLIA NUMBER - ADVANCED VASCULAR CENTERS

Laboratory Demographics

  • CLIA Code: 38D2268867
  • Facility Name: ADVANCED VASCULAR CENTERS
  • Facility Address: 1200 GATEWAY LOOP RD
    SPRINGFIELD, OR
    ZIP 97477
  • Facility Phone: 541 933-0800
  • Facility Type: Other - OFFICE BASED PROCEDURAL
  • Facility Type: Waiver
  • Lab Director: CHARLES MCGLADE
  • NPI Number: 1760438352
  • Taxonomy: 237700000X - Hearing Instrument Specialist

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CLIA Record

Field Name Field Value
CLIA Number 38D2268867
LAB Type Other - OFFICE BASED PROCEDURAL
Facility Name ADVANCED VASCULAR CENTERS
Street 1200 GATEWAY LOOP RD
City SPRINGFIELD
State OR
ZIP 97477
Phone 541 933-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Other - OFFICE BASED PROCEDURAL
Lab Director CHARLES MCGLADE

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