38D2317124 CLIA NUMBER - OREGON PEDIATRICS-BEAVERTON, LLC

Laboratory Demographics

  • CLIA Code: 38D2317124
  • Facility Name: OREGON PEDIATRICS-BEAVERTON, LLC
  • Facility Address: 15950 SW MILLIKAN WY, #100
    BEAVERTON, OR
    ZIP 97003
  • Facility Phone: 503 659-1694
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANKUR K. SHAH
  • NPI Number: 1114558368
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D2317124
LAB Type Physician Office
Facility Name OREGON PEDIATRICS-BEAVERTON, LLC
Street 15950 SW MILLIKAN WY, #100
City BEAVERTON
State OR
ZIP 97003
Phone 503 659-1694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director ANKUR K. SHAH

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