38D1063088 CLIA NUMBER - ADVANCED DERMATOLOGY OF OREGON

Laboratory Demographics

  • CLIA Code: 38D1063088
  • Facility Name: ADVANCED DERMATOLOGY OF OREGON
  • Facility Address: 19260 SW 65TH AVE SUITE 270
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: (503) 692-9525
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MAERAN CHUNG LANDERS
  • NPI Number: 1215035332
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 38D1063088
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF OREGON
Street 19260 SW 65TH AVE SUITE 270
City TUALATIN
State OR
ZIP 97062
Phone 5036929525
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 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director DR. MAERAN CHUNG LANDERS

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This page was last updated on: 5/18/2026