38D0624576 CLIA NUMBER - OREGON PEDIATRICS-CLACKAMAS

Laboratory Demographics

  • CLIA Code: 38D0624576
  • Facility Name: OREGON PEDIATRICS-CLACKAMAS
  • Facility Address: 8645 SE SUNNYBROOK BLVD, STE 200
    CLACKAMAS, OR
    ZIP 97015
  • Facility Phone: 503 659-1694
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANKUR K. SHAH
  • NPI Number: 1275579906
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D0624576
LAB Type Physician Office
Facility Name OREGON PEDIATRICS-CLACKAMAS
Street 8645 SE SUNNYBROOK BLVD, STE 200
City CLACKAMAS
State OR
ZIP 97015
Phone 503 659-1694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director ANKUR K. SHAH

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