38D2240148 CLIA NUMBER - INTEGRATIVE ADVANTAGE

Laboratory Demographics

  • CLIA Code: 38D2240148
  • Facility Name: INTEGRATIVE ADVANTAGE
  • Facility Address: 4915 SW GRIFFITH DR, STE 210
    BEAVERTON, OR
    ZIP 97005
  • Facility Phone: 503 548-4008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANNA L. HENSON
  • NPI Number: 1801454772
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 38D2240148
LAB Type Physician Office
Facility Name INTEGRATIVE ADVANTAGE
Street 4915 SW GRIFFITH DR, STE 210
City BEAVERTON
State OR
ZIP 97005
Phone 503 548-4008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director DIANNA L. HENSON

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