CLIA lab
CLIA 38D0965604: Providence Medical Group Gresham
Gresham, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D0965604 belongs to Providence Medical Group Gresham in Gresham, OR.
Certificate of Waiver, effective April 21, 2026, expires April 20, 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
- April 21, 2026
- Certificate expiration
- April 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 1999
- 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
- 38D0965604
- Lab name
- Providence Medical Group Gresham
- Address
- 440 NW Division St, Gresham, OR 97030
- Phone
- (503) 215-9500
- Fax
- (503) 215-9525
Annual test volume the lab reported
- Waived tests
- 4,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gresham, OR
- Adara Oaks ManorCertificate of Waiver, Assisted living facility38D2217397
- Adventist Health Gresham Station Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office38D0711056
- Adventist Health Laboratory ServicesCertificate of Waiver, Physician office38D0625271
- Avamere at Chestnut LaneCertificate of Waiver, Assisted living facility38D2018075
- Bonaventure of GreshamCertificate of Waiver, Assisted living facility38D2293205
- Burnside Surgery CenterCertificate of Waiver, Ambulatory surgery center38D2150925
- CSL Plasma IncCertificate of Compliance, Other38D0672159
- Calcagno PediatricsCertificate of Waiver, Physician office38D0966985
- Cascade Pathology Services LmhmcCertificate of Accreditation, Independent38D0946836
- Columbia Pain and Spine InstituteCertificate of Accreditation, Physician office38D2018576
Related
Questions
What is the CLIA number for Providence Medical Group Gresham in Gresham?
38D0965604, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group Gresham hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D0965604 expire?
The CMS file lists April 20, 2028 as the certificate expiration date; the certificate took effect April 21, 2026.