CLIA lab
CLIA 38D2280627: Centennial Medical Group East DBA
Sutherlin, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2280627 belongs to Centennial Medical Group East DBA in Sutherlin, OR.
Certificate of Waiver, effective April 24, 2025, expires April 23, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 24, 2025
- Certificate expiration
- April 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 24, 2023
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D2280627
- Lab name
- Centennial Medical Group East DBA
- Additional name
- Evergreen Family Medicine North
- Address
- 249 Dakota Street, Sutherlin, OR 97479
- Phone
- (541) 229-3332
- Fax
- (541) 229-3309
Annual test volume the lab reported
- Waived tests
- 39,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sutherlin, OR
- Advantage Dental + SutherlinCertificate of Waiver, Other38D2303614
- May This Be HealthcareCertificate of Waiver, Physician office38D2221671
- Mercy Outpatient Lab at Efm-SutherlinCertificate of Accreditation, Ancillary test site38D2286805
- Murphy & Murphy Dental LLCCertificate of Waiver, Other38D2239923
- Pacific Sports and Spine LLCCertificate of Waiver, Physician office38D2339427
- Sutherlin Alf, LLC DBA Applegate PlaceCertificate of Waiver, Assisted living facility38D2194713
- Sutherlin DrugCertificate of Waiver, Pharmacy38D2237475
- Umpqua Community Health IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center38D2298126
Related
Questions
What is the CLIA number for Centennial Medical Group East DBA in Sutherlin?
38D2280627, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Centennial Medical Group East DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2280627 expire?
The CMS file lists April 23, 2027 as the certificate expiration date; the certificate took effect April 24, 2025.