38D2264862 CLIA NUMBER - PROVIDENCE REED'S CROSSING DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 38D2264862
  • Facility Name: PROVIDENCE REED'S CROSSING DERMATOLOGY
  • Facility Address: 7305 SE CIRCUIT DR, STE 230
    HILLSBORO, OR
    ZIP 97123
  • Facility Phone: 503 342-9925
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KRISTIN R. STEVENS
  • NPI Number: 1124458914
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2264862
LAB Type Physician Office
Facility Name PROVIDENCE REED'S CROSSING DERMATOLOGY
Street 7305 SE CIRCUIT DR, STE 230
City HILLSBORO
State OR
ZIP 97123
Phone 503 342-9925
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 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director KRISTIN R. STEVENS

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