38D2015814 CLIA NUMBER - MICHAEL P GARDNER MD

Laboratory Demographics

  • CLIA Code: 38D2015814
  • Facility Name: MICHAEL P GARDNER MD
  • Facility Address: 19260 SW 65TH AVE SUITE 310
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: 503 692-1200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL P GARNER MD
  • NPI Number: 1215993845
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 38D2015814
LAB Type Physician Office
Facility Name MICHAEL P GARDNER MD
Street 19260 SW 65TH AVE SUITE 310
City TUALATIN
State OR
ZIP 97062
Phone 503 692-1200
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 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director MICHAEL P GARNER MD

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