38D2061876 CLIA NUMBER - PACIFIC UNIVERSITY EYE CLINIC BEAVERTON

Laboratory Demographics

  • CLIA Code: 38D2061876
  • Facility Name: PACIFIC UNIVERSITY EYE CLINIC BEAVERTON
  • Facility Address: 12600 SW CRESCENT STREET, SUITE 130
    BEAVERTON, OR
    ZIP 97005
  • Facility Phone: 503 352-1699
  • Facility Type: Other - TEACHING
  • Facility Type: Waiver
  • Lab Director: WILLIAM F. HEFNER
  • NPI Number: 1124319009
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 38D2061876
LAB Type Other - TEACHING
Facility Name PACIFIC UNIVERSITY EYE CLINIC BEAVERTON
Street 12600 SW CRESCENT STREET, SUITE 130
City BEAVERTON
State OR
ZIP 97005
Phone 503 352-1699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Other - TEACHING
Lab Director WILLIAM F. HEFNER

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