38D1089667 CLIA NUMBER - PACIFIC UNIVERSITY STUDENT HEALTH CENTER

Laboratory Demographics

CLIA Number: 38D1089667

Facility Name: PACIFIC UNIVERSITY STUDENT HEALTH CENTER

Facility Address:
730 SE OAK ST, STE D
HILLSBORO, OR
ZIP 97123
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Facility Phone Number: 503 352-2269

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1811363310

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D1089667
LAB Type	School/Student Health Service
Facility Name	PACIFIC UNIVERSITY STUDENT HEALTH CENTER
Street	730 SE OAK ST, STE D
City	HILLSBORO
State	OR
ZIP	97123
Phone	503 352-2269
CertificateType	4
CertificateEffectiveDate	9/5/2023
CertificateExpirationDate	9/4/2025
FacilityType	Waiver

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