CLIA lab
CLIA 38D0894595: Providence Medical Group Mary's Woods
Lake Oswego, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D0894595 belongs to Providence Medical Group Mary's Woods in Lake Oswego, OR.
Certificate of Waiver, effective June 1, 2025, expires May 31, 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 1, 2025
- Certificate expiration
- May 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 1994
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 38D0894595
- Lab name
- Providence Medical Group Mary's Woods
- Address
- 17550 Provost St, Ste 201, Lake Oswego, OR 97034
- Phone
- (503) 872-2440
Annual test volume the lab reported
- Waived tests
- 1,000
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 Mary's Woods in Lake Oswego?
38D0894595, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group Mary's Woods hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D0894595 expire?
The CMS file lists May 31, 2027 as the certificate expiration date; the certificate took effect June 1, 2025.