CLIA lab

CLIA 38D2205966: Powell Valley Wellness

Gresham, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 38D2205966 belongs to Powell Valley Wellness in Gresham, OR.

Certificate of Waiver, effective December 16, 2024, expires December 15, 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 16, 2024
Certificate expiration
December 15, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 16, 2020
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
38D2205966
Lab name
Powell Valley Wellness
Address
4253 SE 182nd Avenue, Gresham, OR 97030
Phone
(503) 661-5090
Fax
(503) 489-2320

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 Gresham, OR

Related

Questions

What is the CLIA number for Powell Valley Wellness in Gresham?

38D2205966, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Powell Valley Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D2205966 expire?

The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.

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