CLIA lab
CLIA 38D2005057: Legacy Medical Group - Bridgeport
Lake Oswego, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2005057 belongs to Legacy Medical Group - Bridgeport in Lake Oswego, OR.
Certificate of Waiver, effective December 22, 2024, expires December 21, 2026.
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
- December 22, 2024
- Certificate expiration
- December 21, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2010
- 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
- 38D2005057
- Lab name
- Legacy Medical Group - Bridgeport
- Address
- 18010 SW Mcewan Rd Suite 100, Lake Oswego, OR 97035
- Phone
- (503) 525-7500
- Fax
- (503) 525-7515
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 Legacy Medical Group - Bridgeport in Lake Oswego?
38D2005057, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Medical Group - Bridgeport hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2005057 expire?
The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.