38D2088807 CLIA NUMBER - PMG CLACKAMAS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 38D2088807
  • Facility Name: PMG CLACKAMAS DERMATOLOGY
  • Facility Address: 9280 SE SUNNYBROOK BLVD STE 200
    CLACKAMAS, OR
    ZIP 97015
  • Facility Phone: 503 962-1840
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KRISTIN R. STEVENS
  • NPI Number: 1508015348
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2088807
LAB Type Physician Office
Facility Name PMG CLACKAMAS DERMATOLOGY
Street 9280 SE SUNNYBROOK BLVD STE 200
City CLACKAMAS
State OR
ZIP 97015
Phone 503 962-1840
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director DR. KRISTIN R. STEVENS

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