CLIA lab
CLIA 38D1058783: PMG Mercantile Family Medicine
Lake Oswego, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D1058783 belongs to PMG Mercantile Family Medicine in Lake Oswego, OR.
Certificate of Waiver, effective March 20, 2026, expires March 19, 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
- March 20, 2026
- Certificate expiration
- March 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2006
- 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
- 38D1058783
- Lab name
- PMG Mercantile Family Medicine
- Address
- 4004 Kruse Way Place Suite 300, Lake Oswego, OR 97035
- Phone
- (503) 216-1500
Annual test volume the lab reported
- Waived tests
- 100
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 PMG Mercantile Family Medicine in Lake Oswego?
38D1058783, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PMG Mercantile Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D1058783 expire?
The CMS file lists March 19, 2028 as the certificate expiration date; the certificate took effect March 20, 2026.