38D0666738 CLIA NUMBER - MOUNTAIN VIEW MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 38D0666738
  • Facility Name: MOUNTAIN VIEW MEDICAL CENTER
  • Facility Address: 1909 MOUNTAIN VIEW LANE STE 200
    FOREST GROVE, OR
    ZIP 97116
  • Facility Phone: 503 359-4773
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY J. GRAY
  • NPI Number: 1477518694
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0666738
LAB Type Physician Office
Facility Name MOUNTAIN VIEW MEDICAL CENTER
Street 1909 MOUNTAIN VIEW LANE STE 200
City FOREST GROVE
State OR
ZIP 97116
Phone 503 359-4773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director TIMOTHY J. GRAY

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