CLIA lab
CLIA 38D0622163: Providence Medical Group Molalla
Molalla, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D0622163 belongs to Providence Medical Group Molalla in Molalla, OR.
Certificate of Waiver, effective June 19, 2026, expires June 18, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 19, 2026
- Certificate expiration
- June 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Ancillary test site
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D0622163
- Lab name
- Providence Medical Group Molalla
- Address
- 110 Center Avenue, Molalla, OR 97038
- Phone
- (503) 829-1400
- Fax
- (971) 282-0076
Annual test volume the lab reported
- Waived tests
- 2,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Molalla, OR
- Bear Creek Memory CareCertificate of Waiver, Other38D2225590
- Legacy Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office38D0932318
- Molalla Fire District #73Certificate of Waiver, Other38D0697918
- Pheasant Pointe Assisted Living & Memory CareCertificate of Waiver, Assisted living facility38D2171682
- Safeway Pharmacy #1751Certificate of Waiver, Pharmacy38D2081035
- Woodside Post AcuteCertificate of Waiver, Skilled nursing or nursing facility38D0622162
Related
Questions
What is the CLIA number for Providence Medical Group Molalla in Molalla?
38D0622163, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group Molalla hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D0622163 expire?
The CMS file lists June 18, 2028 as the certificate expiration date; the certificate took effect June 19, 2026.