38D2037749 CLIA NUMBER - LUKE-DORF

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Laboratory Demographics

CLIA Number: 38D2037749

Facility Name: LUKE-DORF

Facility Address:
8935 SW CENTER ST
TIGARD, OR
ZIP 97223
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Facility Phone Number: 503 726-3690

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1457897548

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D2037749
LAB Type	Mobile Laboratory
Facility Name	LUKE-DORF
Street	8935 SW CENTER ST
City	TIGARD
State	OR
ZIP	97223
Phone	503 726-3690
CertificateType	4
CertificateEffectiveDate	3/6/2024
CertificateExpirationDate	3/5/2026
FacilityType	Waiver

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