CLIA lab
CLIA 38D2133021: Legacy Medical Group Urogynecology- Tualatin
Tualatin, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2133021 belongs to Legacy Medical Group Urogynecology- Tualatin in Tualatin, OR.
Certificate of Waiver, effective July 3, 2025, expires July 2, 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 Waiver
- Certificate effective
- July 3, 2025
- Certificate expiration
- July 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 3, 2017
- 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
- 38D2133021
- Lab name
- Legacy Medical Group Urogynecology- Tualatin
- Address
- 19875 65th Avenue Suite 250, Tualatin, OR 97062
- Phone
- (503) 413-5787
- Fax
- (503) 413-5788
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adobe PH PCCertificate of Waiver, Other38D2310281
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- Any Lab Test NowCertificate of Waiver, Other38D2285108
- Ben Pataroque MDCertificate of Waiver, Physician office38D1022944
- Borland Free ClinicCertificate of Waiver, Community clinic38D2129444
- Brighton Hospice Oregon, LLCCertificate of Waiver, Hospice38D2117903
- Brookdale River Valley TualatinCertificate of Waiver, Assisted living facility38D2018050
- Cascade Pathology Services Meridian ParkCertificate of Accreditation, Independent38D0623585
- Cascade Spine CenterCertificate of Waiver, Ambulatory surgery center38D1012584
Related
Questions
What is the CLIA number for Legacy Medical Group Urogynecology- Tualatin in Tualatin?
38D2133021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Medical Group Urogynecology- Tualatin hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2133021 expire?
The CMS file lists July 2, 2027 as the certificate expiration date; the certificate took effect July 3, 2025.