38D2095735 CLIA NUMBER - HOLISTIC HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 38D2095735
  • Facility Name: HOLISTIC HEALTH CLINIC
  • Facility Address: 4670 SW WASHINGTON AVE
    BEAVERTON, OR
    ZIP 97005
  • Facility Phone: 503 646-8575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE D YOUNG ND LAC
  • NPI Number: 1821110438
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 38D2095735
LAB Type Physician Office
Facility Name HOLISTIC HEALTH CLINIC
Street 4670 SW WASHINGTON AVE
City BEAVERTON
State OR
ZIP 97005
Phone 503 646-8575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director MICHELLE D YOUNG ND LAC

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