38D1066590 CLIA NUMBER - PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY

Laboratory Demographics

  • CLIA Code: 38D1066590
  • Facility Name: PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY
  • Facility Address: 2043 COLLEGE WAY
    FOREST GROVE, OR
    ZIP 97116
  • Facility Phone: 503 352-2020
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: WILLIAM F. HEFNER
  • NPI Number: 1689782393
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 38D1066590
LAB Type Mobile Laboratory
Facility Name PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY
Street 2043 COLLEGE WAY
City FOREST GROVE
State OR
ZIP 97116
Phone 503 352-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Mobile Laboratory
Lab Director WILLIAM F. HEFNER

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