CLIA lab
CLIA 38D2077511: Petroff Center
Lake Oswego, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2077511 belongs to Petroff Center in Lake Oswego, OR.
Certificate of Waiver, effective May 8, 2026, expires May 7, 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
- May 8, 2026
- Certificate expiration
- May 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 8, 2014
- Facility type
- Ambulatory surgery center
- 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
- 38D2077511
- Lab name
- Petroff Center
- Address
- 17720 Jean Way #100, Lake Oswego, OR 97035
- Phone
- (503) 635-4886
- Fax
- (503) 635-1655
Annual test volume the lab reported
- Waived tests
- 20
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 Petroff Center in Lake Oswego?
38D2077511, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Petroff Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2077511 expire?
The CMS file lists May 7, 2028 as the certificate expiration date; the certificate took effect May 8, 2026.