CLIA lab
CLIA 38D2133777: Kaiser Permanente Johnson Creek Dental
Happy Valley, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2133777 belongs to Kaiser Permanente Johnson Creek Dental in Happy Valley, OR.
Certificate of Waiver, effective July 19, 2025, expires July 18, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 19, 2025
- Certificate expiration
- July 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2017
- Facility type
- Other practitioner
- 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
- 38D2133777
- Lab name
- Kaiser Permanente Johnson Creek Dental
- Address
- 9300 SE 91st Ave Ste 310, Happy Valley, OR 97086
- Phone
- (503) 772-7888
- Fax
- (503) 772-7885
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Happy Valley, OR
- Columbia Medical Clinic PCCertificate for Provider-Performed Microscopy Procedures, Physician office38D2004057
- Estates at Town Center, theCertificate of Waiver, Assisted living facility38D0868012
- Eyehealth NW Eastside Surgery CenterCertificate of Waiver, Ambulatory surgery center38D1021153
- Fred Meyer Pharmacy #694Certificate of Waiver, Pharmacy38D2120593
- Metropolitan Pediatrics - NECertificate of Waiver, Physician office38D0968665
- Metropolitan Pediatrics-Happy Valley SunnysideCertificate of Waiver, Physician office38D2172100
- Miracle Heights at Happy ValleyCertificate of Waiver, Assisted living facility38D2215524
- NW Primary Care - Dwyer ClinicCertificate of Waiver, Ancillary test site38D0624596
- Northwest Primary Care Group Happy ValleyCertificate for Provider-Performed Microscopy Procedures, Physician office38D0888269
- Northwest Urgent Care Phase II LLCCertificate of Waiver, Other38D2106540
Related
Questions
What is the CLIA number for Kaiser Permanente Johnson Creek Dental in Happy Valley?
38D2133777, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Permanente Johnson Creek Dental hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2133777 expire?
The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.