CLIA lab

CLIA 38D2316929: Clementine Lake Oswego

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

CLIA number 38D2316929 belongs to Clementine Lake Oswego in West Linn, OR.

Certificate of Waiver, effective January 15, 2025, expires January 14, 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
January 15, 2025
Certificate expiration
January 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 2025
Facility type
Other
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
38D2316929
Lab name
Clementine Lake Oswego
Address
22035 S Wisteria Rd, West Linn, OR 97068
Phone
(971) 314-6530
Fax
(971) 228-1680

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in West Linn, OR

Related

Questions

What is the CLIA number for Clementine Lake Oswego in West Linn?

38D2316929, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clementine Lake Oswego hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D2316929 expire?

The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.

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