38D1091271 CLIA NUMBER - KNOTT STREET DERMATOLOGY-MILWAUKIE

Laboratory Demographics

  • CLIA Code: 38D1091271
  • Facility Name: KNOTT STREET DERMATOLOGY-MILWAUKIE
  • Facility Address: 10330 SE 32ND AVE SUITE 330
    MILWAUKIE, OR
    ZIP 97222
  • Facility Phone: 503 253-3910
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ERIC HANSON
  • NPI Number: 1891741864
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 38D1091271
LAB Type Physician Office
Facility Name KNOTT STREET DERMATOLOGY-MILWAUKIE
Street 10330 SE 32ND AVE SUITE 330
City MILWAUKIE
State OR
ZIP 97222
Phone 503 253-3910
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Physician Office
Lab Director DR. ERIC HANSON

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