38D0927159 CLIA NUMBER - OREGON CLINIC ADVANCED UROLOGY ASSOCIATES, THE MERIDIAN PARK

Laboratory Demographics

  • CLIA Code: 38D0927159
  • Facility Name: OREGON CLINIC ADVANCED UROLOGY ASSOCIATES, THE MERIDIAN PARK
  • Facility Address: 19250 SW 65TH AVE SUITE 235
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: 503 935-8787
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JIN HEE KIM MD
  • NPI Number: 1831167253
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0927159
LAB Type Physician Office
Facility Name OREGON CLINIC ADVANCED UROLOGY ASSOCIATES, THE MERIDIAN PARK
Street 19250 SW 65TH AVE SUITE 235
City TUALATIN
State OR
ZIP 97062
Phone 503 935-8787
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 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director JIN HEE KIM MD

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