CLIA lab

CLIA 38D0873819: Providence Medical Group - Scholls Med Plaza

Tigard, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 38D0873819 belongs to Providence Medical Group - Scholls Med Plaza in Tigard, OR.

Certificate of Waiver, effective June 15, 2025, expires June 14, 2027.

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 15, 2025
Certificate expiration
June 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 27, 1993
Facility type
Physician office
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
38D0873819
Lab name
Providence Medical Group - Scholls Med Plaza
Address
12442 SW Scholls Ferry Rd Suite 100, Tigard, OR 97223
Phone
(503) 216-9200
Fax
(503) 216-9220

Annual test volume the lab reported

Waived tests
880

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Providence Medical Group - Scholls Med Plaza in Tigard?

38D0873819, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Medical Group - Scholls Med Plaza hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D0873819 expire?

The CMS file lists June 14, 2027 as the certificate expiration date; the certificate took effect June 15, 2025.

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