38D0064461 CLIA NUMBER - KAISER BEAVERTON MEDICAL OFFICE LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0064461
  • Facility Name: KAISER BEAVERTON MEDICAL OFFICE LABORATORY
  • Facility Address: 4855 SW WESTERN AVE
    BEAVERTON, OR
    ZIP 97005
  • Facility Phone: 503 495-6508
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JAMAR UZZELL
  • NPI Number: 1003138116
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 38D0064461
LAB Type Physician Office
Facility Name KAISER BEAVERTON MEDICAL OFFICE LABORATORY
Street 4855 SW WESTERN AVE
City BEAVERTON
State OR
ZIP 97005
Phone 503 495-6508
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director DR. JAMAR UZZELL

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