38D0684239 CLIA NUMBER - OREGON DERMATOLOGY & RESEARCH CENTER PHOEBE RICH DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 38D0684239
  • Facility Name: OREGON DERMATOLOGY & RESEARCH CENTER PHOEBE RICH DERMATOLOGY
  • Facility Address: 2565 NW LOVEJOY ST STE 200
    PORTLAND, OR
    ZIP 97210
  • Facility Phone: 503 226-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PHOEBE A. RICH
  • NPI Number: 1124199484
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 38D0684239
LAB Type Physician Office
Facility Name OREGON DERMATOLOGY & RESEARCH CENTER PHOEBE RICH DERMATOLOGY
Street 2565 NW LOVEJOY ST STE 200
City PORTLAND
State OR
ZIP 97210
Phone 503 226-3376
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 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director PHOEBE A. RICH

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