38D0622101 CLIA NUMBER - DAVID SELBY DO

Laboratory Demographics

  • CLIA Code: 38D0622101
  • Facility Name: DAVID SELBY DO
  • Facility Address: 16463 BOONES FERRY RD #100
    LAKE OSWEGO, OR
    ZIP 97035
  • Facility Phone: 503 635-1350
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID W. SELBY DO
  • NPI Number: 1114032836
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0622101
LAB Type Physician Office
Facility Name DAVID SELBY DO
Street 16463 BOONES FERRY RD #100
City LAKE OSWEGO
State OR
ZIP 97035
Phone 503 635-1350
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director DAVID W. SELBY DO

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