38D2320896 CLIA NUMBER - INV MD PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 38D2320896
  • Facility Name: INV MD PLASTIC SURGERY
  • Facility Address: 2235 NW SHEVLIN PARK RD SUITE 140
    BEND, OR
    ZIP 97703
  • Facility Phone: 541 317-0808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLAS VIAL
  • NPI Number: 1639614951
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 38D2320896
LAB Type Physician Office
Facility Name INV MD PLASTIC SURGERY
Street 2235 NW SHEVLIN PARK RD SUITE 140
City BEND
State OR
ZIP 97703
Phone 541 317-0808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director NICOLAS VIAL

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