38D1063088 CLIA NUMBER - ADVANCED DERMATOLOGY OF OREGON

Laboratory Demographics

CLIA Number: 38D1063088

Facility Name: ADVANCED DERMATOLOGY OF OREGON

Facility Address:
19260 SW 65TH AVE SUITE 270
TUALATIN, OR
ZIP 97062
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Facility Phone Number: 503 692-9525

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1225588411

Taxonomy: 332S00000X - Hearing Aid Equipment
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.

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	503 692-9525
CertificateType	2
CertificateEffectiveDate	4/24/2023
CertificateExpirationDate	4/23/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024