38D2202909 CLIA NUMBER - VENACARENW

Laboratory Demographics

  • CLIA Code: 38D2202909
  • Facility Name: VENACARENW
  • Facility Address: 6464 SW BORLAND ROAD SUITE C-5
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: 503 878-5418
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: HEATHER L. DRYDEN
  • NPI Number: 1619591476
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 38D2202909
LAB Type Independent
Facility Name VENACARENW
Street 6464 SW BORLAND ROAD SUITE C-5
City TUALATIN
State OR
ZIP 97062
Phone 503 878-5418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Independent
Lab Director HEATHER L. DRYDEN

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