38D2104112 CLIA NUMBER - BEAUMONT VISION

Laboratory Demographics

  • CLIA Code: 38D2104112
  • Facility Name: BEAUMONT VISION
  • Facility Address: 4331 NE FREMONT ST
    PORTLAND, OR
    ZIP 97213
  • Facility Phone: 503 331-3937
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN R LEWIS
  • NPI Number: 1780881276
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 38D2104112
LAB Type Practitioner Other
Facility Name BEAUMONT VISION
Street 4331 NE FREMONT ST
City PORTLAND
State OR
ZIP 97213
Phone 503 331-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Practitioner Other
Lab Director JOHN R LEWIS

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