CLIA lab

CLIA 38D1087233: Providence Medical Group Bridgeport-Dermatology

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

CLIA number 38D1087233 belongs to Providence Medical Group Bridgeport-Dermatology in Tigard, OR.

Certificate of Compliance, effective September 14, 2025, expires September 13, 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 Compliance
Certificate effective
September 14, 2025
Certificate expiration
September 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 29, 2008
Facility type
Community clinic
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
38D1087233
Lab name
Providence Medical Group Bridgeport-Dermatology
Address
18040 SW Lower Boones Ferry Rd #201, Tigard, OR 97224
Phone
(503) 216-0500
Fax
(971) 712-2120

Annual test volume the lab reported

Other nonwaived tests
4,100

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

Other labs in Tigard, OR

Related

Questions

What is the CLIA number for Providence Medical Group Bridgeport-Dermatology in Tigard?

38D1087233, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Medical Group Bridgeport-Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 38D1087233 expire?

The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.

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