38D2098570 CLIA NUMBER - NORTHWEST URGENT CARE PHASE I LLC

Laboratory Demographics

CLIA Code: 38D2098570
Facility Name: NORTHWEST URGENT CARE PHASE I LLC
Facility Address: 2870 SW CEDAR HILLS BLVD
BEAVERTON, OR
ZIP 97005
Facility Phone: 503 646-9222
Facility Type: Other - URGENT CARE
Facility Type: Waiver
Lab Director: LORI FARRELL
NPI Number: 1932156981
Taxonomy: 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

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CLIA Record

Field Name	Field Value
CLIA Number	38D2098570
LAB Type	Other - URGENT CARE
Facility Name	NORTHWEST URGENT CARE PHASE I LLC
Street	2870 SW CEDAR HILLS BLVD
City	BEAVERTON
State	OR
ZIP	97005
Phone	503 646-9222
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/9/2025
Certificate Expiration Date	7/8/2027
Facility Type	Other - URGENT CARE
Lab Director	LORI FARRELL

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