38D2136622 CLIA NUMBER - TUALATIN INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 38D2136622
  • Facility Name: TUALATIN INTERNAL MEDICINE
  • Facility Address: 6485 SW BORLAND ROAD SUITE B
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: 503 272-8825
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADAM N. GLASER MD
  • NPI Number: 1053832162
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2136622
LAB Type Physician Office
Facility Name TUALATIN INTERNAL MEDICINE
Street 6485 SW BORLAND ROAD SUITE B
City TUALATIN
State OR
ZIP 97062
Phone 503 272-8825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director DR. ADAM N. GLASER MD

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