38D2193118 CLIA NUMBER - VIRGINIA GARCIA MEMORIAL HEALTH CENTER BEAVERTON WELLNESS

Laboratory Demographics

  • CLIA Code: 38D2193118
  • Facility Name: VIRGINIA GARCIA MEMORIAL HEALTH CENTER BEAVERTON WELLNESS
  • Facility Address: 2725 SW CEDAR HILLS BLVD, STE 200
    BEAVERTON, OR
    ZIP 97005
  • Facility Phone: 503 352-8561
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: LAURA R. BYERLY
  • NPI Number: 1396030250
  • Taxonomy: 3747P1801X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 38D2193118
LAB Type Federally Qualified Health Center
Facility Name VIRGINIA GARCIA MEMORIAL HEALTH CENTER BEAVERTON WELLNESS
Street 2725 SW CEDAR HILLS BLVD, STE 200
City BEAVERTON
State OR
ZIP 97005
Phone 503 352-8561
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 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Federally Qualified Health Center
Lab Director LAURA R. BYERLY

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