38D0976671 CLIA NUMBER - KAISER PERMANENTE - TUALATIN

Laboratory Demographics

  • CLIA Code: 38D0976671
  • Facility Name: KAISER PERMANENTE - TUALATIN
  • Facility Address: 19185 SW 90TH AVE
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: 503 885-7331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMAR UZZELL
  • NPI Number: 1164850301
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 38D0976671
LAB Type Physician Office
Facility Name KAISER PERMANENTE - TUALATIN
Street 19185 SW 90TH AVE
City TUALATIN
State OR
ZIP 97062
Phone 503 885-7331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director DR. JAMAR UZZELL

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