38D2312689 CLIA NUMBER - PEARL SURGICENTER LLC

Laboratory Demographics

  • CLIA Code: 38D2312689
  • Facility Name: PEARL SURGICENTER LLC
  • Facility Address: 16985 NW CORNELL RD
    BEAVERTON, OR
    ZIP 97006
  • Facility Phone: 503 771-1883
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD ROSENFIELD
  • NPI Number: 1407997125
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2312689
LAB Type Ambulatory Surgery Center
Facility Name PEARL SURGICENTER LLC
Street 16985 NW CORNELL RD
City BEAVERTON
State OR
ZIP 97006
Phone 503 771-1883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD ROSENFIELD

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