38D0698929 CLIA NUMBER - LAKE OSWEGO DERMATOLOGY GROUP LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0698929
  • Facility Name: LAKE OSWEGO DERMATOLOGY GROUP LABORATORY
  • Facility Address: 17704 JEAN WAY SUITE 102
    LAKE OSWEGO, OR
    ZIP 97035
  • Facility Phone: 503 635-9221
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANDREW E. PITT MD
  • NPI Number: 1801329008
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 38D0698929
LAB Type Physician Office
Facility Name LAKE OSWEGO DERMATOLOGY GROUP LABORATORY
Street 17704 JEAN WAY SUITE 102
City LAKE OSWEGO
State OR
ZIP 97035
Phone 503 635-9221
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 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director DR. ANDREW E. PITT MD

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