38D0713192 CLIA NUMBER - COLUMBIA MEDICAL CLINIC, PC

Laboratory Demographics

  • CLIA Code: 38D0713192
  • Facility Name: COLUMBIA MEDICAL CLINIC, PC
  • Facility Address: 12455 SW 68TH AVENUE
    TIGARD, OR
    ZIP 97223
  • Facility Phone: 503 639-2800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HOANG Q. NGUYEN
  • NPI Number: 1730106717
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 38D0713192
LAB Type Physician Office
Facility Name COLUMBIA MEDICAL CLINIC, PC
Street 12455 SW 68TH AVENUE
City TIGARD
State OR
ZIP 97223
Phone 503 639-2800
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 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director HOANG Q. NGUYEN

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