38D0965600 CLIA NUMBER - WILLAMETTE DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 38D0965600
  • Facility Name: WILLAMETTE DERMATOLOGY PC
  • Facility Address: 19875 SW 65TH AVENUE SUITE 260
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: 503 691-1743
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PAUL A. KLAS MD
  • NPI Number: 1245221084
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0965600
LAB Type Physician Office
Facility Name WILLAMETTE DERMATOLOGY PC
Street 19875 SW 65TH AVENUE SUITE 260
City TUALATIN
State OR
ZIP 97062
Phone 503 691-1743
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 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director PAUL A. KLAS MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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