38D2136675 CLIA NUMBER - TUALATIN VALLEY FIRE & RESCUE OCCUPATIONAL HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 38D2136675
  • Facility Name: TUALATIN VALLEY FIRE & RESCUE OCCUPATIONAL HEALTH & WELLNESS
  • Facility Address: 12115 SW 70TH AVE, STE 102
    TIGARD, OR
    ZIP 97223
  • Facility Phone: 503 259-1687
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN P. BURKE
  • NPI Number: 1750652673
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D2136675
LAB Type Practitioner Other
Facility Name TUALATIN VALLEY FIRE & RESCUE OCCUPATIONAL HEALTH & WELLNESS
Street 12115 SW 70TH AVE, STE 102
City TIGARD
State OR
ZIP 97223
Phone 503 259-1687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Practitioner Other
Lab Director DR. BRIAN P. BURKE

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