38D2277893 CLIA NUMBER - BRIDGETOWN OPTOMETRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 38D2277893
  • Facility Name: BRIDGETOWN OPTOMETRIC ASSOCIATES
  • Facility Address: 12923 NE CORNELL RD #203
    PORTLAND, OR
    ZIP 97229
  • Facility Phone: 503 645-5078
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL OLMA
  • NPI Number: 1336515741
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 38D2277893
LAB Type Practitioner Other
Facility Name BRIDGETOWN OPTOMETRIC ASSOCIATES
Street 12923 NE CORNELL RD #203
City PORTLAND
State OR
ZIP 97229
Phone 503 645-5078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Practitioner Other
Lab Director MICHAEL OLMA

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