CLIA lab
CLIA 38D1103396: Legacy Medical Group Lake Oswego
Lake Oswego, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D1103396 belongs to Legacy Medical Group Lake Oswego in Lake Oswego, OR.
Certificate for Provider-Performed Microscopy Procedures, effective August 10, 2025, expires August 9, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 10, 2025
- Certificate expiration
- August 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 10, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 38D1103396
- Lab name
- Legacy Medical Group Lake Oswego
- Address
- 412 A Avenue Suite 200, Lake Oswego, OR 97034
- Phone
- (503) 635-2496
- Fax
- (503) 635-2497
Annual test volume the lab reported
- Waived tests
- 800
- Provider-performed microscopy tests
- 100
- Total
- 900
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 Legacy Medical Group Lake Oswego in Lake Oswego?
38D1103396, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Medical Group Lake Oswego hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 38D1103396 expire?
The CMS file lists August 9, 2027 as the certificate expiration date; the certificate took effect August 10, 2025.