38D2104972 CLIA NUMBER - NW UROLOGY, LLC

Laboratory Demographics

  • CLIA Code: 38D2104972
  • Facility Name: NW UROLOGY, LLC
  • Facility Address: 2055 NW SAVIER ST #380
    PORTLAND, OR
    ZIP 97209
  • Facility Phone: (503) 223-6223
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELI THOMPSON

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CLIA Record

Field Name Field Value
CLIA Number 38D2104972
LAB Type Physician Office
Facility Name NW UROLOGY, LLC
Street 2055 NW SAVIER ST #380
City PORTLAND
State OR
ZIP 97209
Phone 5032236223
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director ELI THOMPSON

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This page was last updated on: 5/18/2026